Organization Active NPI

Dizziness & Balance Center of Southwest Florida PA

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1851585707
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23052 Issued in FL
Legal business name
DIZZINESS & BALANCE CENTER OF SOUTHWEST FLORIDA PA
Practice address
3820 Colonial Blvd
Suite 103
Fort Myers, FL 33966-1094
Phone
(223) 943-3177
NPI assigned
Sep 4, 2007
Last updated
Jun 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Shella J Lobianco, MSPTNPI 1427255405
Title
President
Phone
(239) 433-1777

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 23052 FL Primary

Addresses

Primary practice location

3820 Colonial Blvd
Suite 103
Fort Myers, FL 33966-1094

Mailing address

3820 Colonial Blvd
Suite 103
Fort Myers, FL 33966-1094
Phone (239) 433-1777

National Provider Directory

National Provider Directory

Locations

3820 Colonial Blvd
Ste 103
Fort Myers, FL 33966
Phone (239) 275-4411

5995 S Pointe Blvd
Ste 110
Fort Myers, FL 33919
Phone (239) 433-1777

Practitioners & affiliated clinicians

Practitioners 5

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": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1851585707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 COLONIAL BLVD",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661094",
            "telephone_number": "239-433-1777",
            "fax_number": "239-433-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 COLONIAL BLVD",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661094",
            "telephone_number": "223-943-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIZZINESS & BALANCE CENTER OF SOUTHWEST FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "LOBIANCO",
        "authorized_official_first_name": "SHELLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-433-1777",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "23052",
            "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 Jun 9, 2009; 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.