Individual provider Active NPI

Michael C Via, MSPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1790799906
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12074 Issued in FL
Practice address
9051 Tamiami TRL N
Suite 104
Naples, FL 34108-2596
Phone
(239) 591-4711
Fax
(239) 593-1195
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT12074 FL Primary

Addresses

Primary practice location

9051 Tamiami TRL N
Suite 104
Naples, FL 34108-2596

Mailing address

5150 Old Ashwood Dr
Sarasota, FL 34233-3491
Phone (941) 929-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT12074FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Sarasota Physical Physical Therapist CurrentSince Apr 2, 2009 Accepting new patients
Pelican Sports & Rehabilitation of Naples Physical Therapist PastSince Jun 24, 2015 Accepting new patients
Pelican Sports and Rehabilitation, Inc Physical Therapist Past Accepting new patients

Locations

3920 Bee Ridge Rd
Ste E-G
Sarasota, FL 34233
Phone (941) 925-2700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790799906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 OLD ASHWOOD DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333491",
            "telephone_number": "941-929-9220",
            "fax_number": "239-593-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 TAMIAMI TRL N",
            "address_2": "SUITE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082596",
            "telephone_number": "239-591-4711",
            "fax_number": "239-593-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIA",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12074",
            "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 Jul 9, 2007; 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.