Active NPI
Heather Roka
- Physical Therapist
- Fort Myers, FL
National Provider Identifier
1811362783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26597
- Practice address
- 3810 Clearbrook LN
Fort Myers, FL 33966-7005 - Phone
- (800) 330-7711
- NPI assigned
- Dec 3, 2015
- Last updated
- Dec 3, 2015
- 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 | 26597 | FL | Primary |
Addresses
Primary practice location
3810 Clearbrook LN
Fort Myers, FL 33966-7005
Mailing address
3810 Clearbrook LN
Fort Myers, FL 33966-7005
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26597 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1811362783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 CLEARBROOK LN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339667005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 CLEARBROOK LN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339667005",
"telephone_number": "800-330-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROKA",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "26597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.