NPIMap

Organization Active NPI

Excel Physical Therapy of Naples, Inc.

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1851522007
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 24636 Issued in FL
Legal business name
EXCEL PHYSICAL THERAPY OF NAPLES, INC.
Practice address
13020 Livingston Rd.
Suite #9
Naples, FL 34105
Phone
(239) 213-4295
Fax
(239) 354-9121
NPI assigned
Aug 6, 2009
Last updated
Sep 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Juan C QuirogaNPI 1568699973
Title
Owner
Phone
(239) 213-4295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 24636 FL Primary

Addresses

Primary practice location

13020 Livingston Rd.
Suite #9
Naples, FL 34105

Mailing address

13020 Livingston Rd
Suite 9
Naples, FL 34105-5021
Phone (239) 213-4295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100202000733 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739222563 Receives reassigned benefits from 4 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory
Tax ID family
Excel Physical Therapy of Naples Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1250 Pine Ridge Rd
Ste 203
Naples, FL 34108
Phone (239) 213-4295

13020 Livingston Rd
Ste 9
Naples, FL 34105
Phone (239) 213-4295

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1851522007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 LIVINGSTON RD",
            "address_2": "SUITE 9",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055021",
            "telephone_number": "239-213-4295",
            "fax_number": "239-354-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 LIVINGSTON RD.",
            "address_2": "SUITE #9",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34105",
            "telephone_number": "239-213-4295",
            "fax_number": "239-354-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICAL THERAPY OF NAPLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "QUIROGA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-213-4295"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 24636",
            "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 Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.