Joseph Anthony Miggins, P.T.
Individual provider Active NPI Physical Therapist · Fort Myers, FL
NPI 1790779510 · NPPES record last updated May 3, 2011
Key facts
- NPI
- 1790779510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5905 (FL)
- Practice address
- 12670 Creekside LN
Suite 202
Fort Myers, FL 33919-3370 - Phone
- (239) 482-2663
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5905 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Health Center, LLC | Past | Accepting new patients | |
| Marc a. Weinberg, D.C., P.a. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5905 | FL | Yes |
Addresses
Primary practice location
12670 Creekside LN
Suite 202
Fort Myers, FL 33919-3370
Mailing address
12670 Creekside LN
Suite 202
Fort Myers, FL 33919-3370
Phone (239) 482-2663
Other providers in Fort Myers, FL
- Velimir A Micovic
- Bradley David Middaugh
- David Sean Middleton
- Midpoint Dentistry
- Midtown Investments LLC
- Miguel Rivera, MD
- Xanamaria Miguelez
- Olaya Mihalik
- Antony Mikhail
- Gail Miklic
All providers in Fort Myers, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.