Kevin Pham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37901 Issued in FL

Practice address

16251 N Cleveland Ave
North Fort Myers, FL 33903-2176

Phone

(239) 731-6222

Fax

(239) 731-6555

NPI assigned

Nov 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Core Total Body Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Fullerton, CA
  • NPI 1134657299

  Physical Therapist

  Medicare reassignment NPD
• Mesisca Physical Therapy Inc

  • Geriatric Physical Therapist
  • Laguna Niguel, CA
  • NPI 1821104472
  Medicare reassignment NPD
• Douglass Orthopedic & Spine Rehabilitation, Inc.

  • Physical Therapist
  • Bonita Springs, FL
  • NPI 1992762298
  NPD (past)
• Fyzbiz, LLC

  • Rehabilitation Clinic/Center
  • Fort Myers, FL
  • NPI 1700248887

  Physical Therapist

  NPD (past)
• JM Physical Therapy Inc

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1558658336
  NPD (past)

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1780126284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 NE 39TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096291",
            "telephone_number": "714-496-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16251 N CLEVELAND AVE",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339032176",
            "telephone_number": "239-731-6222",
            "fax_number": "239-731-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25241 Elementary Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341357883",
            "country_code": "US",
            "telephone_number": "239-947-4184",
            "fax_number": "239-947-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292309",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadelys Perez
• Dena K Perry, RPH
• Erica Roseline Perry
• Linnea Denise Peterson, CNA
• David John Pfent II, D.M.D
• Tyler Phan, DPT
• Colton Skyler McCready Phelan, BCBA
• Joseph M Philactos, HAS, LPN
• Sara Phillips, CCC-SLP
• Pine Island Chiropractic Inc

• Physical Therapist in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.