Organization Active NPI

Olde Naples Therapy Center LLC

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1831435304
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OLDE NAPLES THERAPY CENTER LLC
Practice address
285 8TH St S
Naples, FL 34102-6123
Phone
(239) 331-4460
Fax
(239) 331-4437
NPI assigned
Jan 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Judith Pence
Title
Owner
Phone
(239) 331-4460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

285 8TH St S
Naples, FL 34102-6123

Mailing address

285 8TH St S
Naples, FL 34102-6123
Phone (239) 331-4460

National Provider Directory

National Provider Directory

Locations

285 8th St S
Naples, FL 34102
Phone (239) 272-3674

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1831435304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 8TH ST S",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026123",
            "telephone_number": "239-331-4460",
            "fax_number": "239-331-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 8TH ST S",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026123",
            "telephone_number": "239-331-4460",
            "fax_number": "239-331-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE NAPLES THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "PENCE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-331-4460"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Jan 15, 2013; 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.