Organization Active NPI

Oncology and Orthopedic Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Naples, FL
National Provider Identifier
1770823304
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT23764 Issued in FL
Legal business name
ONCOLOGY AND ORTHOPEDIC PHYSICAL THERAPY, LLC
Practice address
7700 Trail Blvd
Suite 107
Naples, FL 34108-2856
Phone
(239) 278-1155
Fax
(239) 278-1159
NPI assigned
Feb 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Mary Kaye Rueth, PT
Title
Owner
Phone
(239) 278-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X PT23764 FL Primary

Addresses

Primary practice location

7700 Trail Blvd
Suite 107
Naples, FL 34108-2856

Mailing address

8805 Tamiami TRL N
Suite 211
Naples, FL 34108-2525
Phone (239) 278-1155

Other identifiers 1

IdentifierTypeStateIssuer
PT23764OtherFLLICENSE

National Provider Directory

National Provider Directory

Locations

840 111th Ave N
Ste 1
Naples, FL 34108
Phone (239) 431-7396

7700 Trail Blvd
Ste 107
Naples, FL 34108
Phone (239) 261-4592

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1770823304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 TAMIAMI TRL N",
            "address_2": "SUITE 211",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082525",
            "telephone_number": "239-278-1155",
            "fax_number": "239-278-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 TRAIL BLVD",
            "address_2": "SUITE 107",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082856",
            "telephone_number": "239-278-1155",
            "fax_number": "239-278-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY AND ORTHOPEDIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "RUETH",
        "authorized_official_first_name": "MARY KAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-278-1155",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT23764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT23764",
            "state": "FL"
        }
    ],
    "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 Feb 19, 2013; 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.