Active NPI
Maria Luciano
- Physical Therapist
- Fort Myers, FL
National Provider Identifier
1801480801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24323
- Practice address
- 2674 Winkler Ave
Fort Myers, FL 33901-9361 - Phone
- (239) 466-9222
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24323 | FL | Primary |
Addresses
Primary practice location
2674 Winkler Ave
Fort Myers, FL 33901-9361
Mailing address
11120 Sparkleberry Dr
Fort Myers, FL 33913-8832
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mluciano@5ssl.com | Direct | five star |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8417 Sierra Meadows Blvd
Naples, FL 34113-7369
Phone (239) 676-2080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24323 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab PT FL LLC | Physical Therapist | Current | Accepting new patients |
| Dah Therapies LLC | Current | Accepting new patients |
Locations
3461 Bonita Bay Blvd
Ste 101
Bonita Springs, FL 34134
Phone (239) 398-6214
4800 Aston Gardens Way
Naples, FL 34109
Phone (239) 300-1301
8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Tampa, FL
- NPI 1407325467
-
- Physical Therapist
- Orlando, FL
- NPI 1336719624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1801480801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 SPARKLEBERRY DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339138832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2674 WINKLER AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019361",
"telephone_number": "239-466-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIANO",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "24323",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mluciano@5ssl.com",
"affiliation": "Y",
"endpointDescription": "Ageility",
"affiliationName": "five star",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2674 Winkler Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339019361",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.