Organization Active NPI

Neuropathy Clinic PLLC

  • Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1740947225
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NEUROPATHY CLINIC PLLC
Practice address
5995 South Point Blvd Ste 109
Fort Myers, FL 33919-3273
Phone
(239) 362-2545
Fax
(239) 362-0544
NPI assigned
Nov 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey S Halsell, DO
Title
Doctor
Phone
(918) 607-6125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5995 South Point Blvd Ste 109
Fort Myers, FL 33919-3273

Mailing address

3117 S Rockford Dr
Tulsa, OK 74105-2128
Phone (918) 607-6125

National Provider Directory

National Provider Directory

Locations

5995 S Pointe Blvd
Ste 109
Fort Myers, FL 33919
Phone (239) 286-9988

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1740947225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 S ROCKFORD DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052128",
            "telephone_number": "918-607-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 SOUTH POINT BLVD STE 109",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193273",
            "telephone_number": "239-362-2545",
            "fax_number": "239-362-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "HALSELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "918-607-6125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.