Florida Gulf Coast University

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FLORIDA GULF COAST UNIVERSITY

Practice address

10501 Fgcu Blvd S
Fort Myers, FL 33965-6565

Phone

(239) 590-7462

NPI assigned

Feb 17, 2020

Organization subpart

Yes

Parent organization

FLORIDA GULF COASTUNIVERSITY WELLNESS CENTERAs reported in NPPES

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

Authorized official

Name

Anne Hansen

Title

Business Manager II

Phone

(239) 590-7462

Specialties & licenses 1

Addresses

Other names 1

• FGCU Physical Therapy & Rehabilitation Clinic Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Florida Gulf Coast University2 organizations share this tax ID, including this one

Part of

Florida Gulf Coast University

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Gulf Coastuniversity Wellness Center

  • Student Health Clinic/Center
  • Fort Myers, FL
  • NPI 1487723581
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Florida Gulf Coastuniversity Wellness Center

  • Student Health Clinic/Center
  • Fort Myers, FL
  • NPI 1487723581
  NPPES parent name

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1811520901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 FGCU BLVD S",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339656565",
            "telephone_number": "239-590-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 FGCU BLVD S",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339656565",
            "telephone_number": "239-590-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA GULF COAST UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA GULF COASTUNIVERSITY WELLNESS CENTER",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "BUSINESS MANAGER II",
        "authorized_official_telephone_number": "239-590-7462"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FGCU Physical Therapy & Rehabilitation Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Florida Dental Professionals, P.a.
• Florida Dental Team, LLC
• Florida Department of Health
• Florida Detox and Recovery Center, LLC
• Florida Gulf Coast Univeristy
• Florida Gulf Coastuniversity Wellness Center
• Florida Gulf Internal Medicine PA
• Florida Heart Associates PL
• Florida Home Medical Equipment, Inc.
• Florida Id Care LLC

• Physical Therapy Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.