Organization Active NPI

Physical Therapy Clinic of Naples LLC

  • Physical Therapy Clinic/Center
  • Naples, FL
National Provider Identifier
1770782815
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT21327 Issued in FL
Legal business name
PHYSICAL THERAPY CLINIC OF NAPLES LLC
Practice address
1865 Veterans Park Dr
Suite 101
Naples, FL 34109-0447
Phone
(239) 597-0787
Fax
(239) 325-1057
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Ms. Kathleen Belton Hoeft, MPT, ATCNPI 1093994667
Title
Director of Fitness
Phone
(239) 597-0787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT21327 FL Primary

Addresses

Primary practice location

1865 Veterans Park Dr
Suite 101
Naples, FL 34109-0447

Mailing address

1865 Veterans Park Dr
Suite 101
Naples, FL 34109-0447
Phone (239) 597-0787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080721000721 FL Part B Supplier - Clinic/Group Practice 6305919564 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

1865 Veterans Park Dr
Ste 101
Naples, FL 34109
Phone (239) 254-7778

2755 Gordon Dr
Naples, FL 34102
Phone (239) 597-0787

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1770782815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 VETERANS PARK DR",
            "address_2": "SUITE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090447",
            "telephone_number": "239-597-0787",
            "fax_number": "239-325-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 VETERANS PARK DR",
            "address_2": "SUITE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090447",
            "telephone_number": "239-597-0787",
            "fax_number": "239-325-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINIC OF NAPLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "HOEFT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "BELTON",
        "authorized_official_title_or_position": "DIRECTOR OF FITNESS",
        "authorized_official_telephone_number": "239-597-0787",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT21327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.