Active NPI
Liliana P Defiore, RPT
- Physical Therapist
- Fort Myers, FL
National Provider Identifier
1861460024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4968 Royal Gulf Cir
Fort Myers, FL 33966-7006 - Phone
- (239) 275-4411
- Fax
- (239) 275-6408
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
4968 Royal Gulf Cir
Fort Myers, FL 33966-7006
Mailing address
4968 Royal Gulf Cir
Fort Myers, FL 33966-7006
Phone (239) 275-4411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edge Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Edge Diagnostics | Past | Accepting new patients |
Locations
10591 Veneto Dr
Fort Myers, FL 33913
Phone (239) 244-3835
3300 Herons Glen Blvd
North Ft Myers, FL 33917
Phone (239) 244-3835
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Edge Physical Therapy LLC
- Clinic/Center
- Cape Coral, FL
- NPI 1669046850
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Punta Gorda, FL
- NPI 1366254211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1861460024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4968 ROYAL GULF CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339667006",
"telephone_number": "239-275-4411",
"fax_number": "239-275-6408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4968 ROYAL GULF CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339667006",
"telephone_number": "239-275-4411",
"fax_number": "239-275-6408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFIORE",
"first_name": "LILIANA",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Dedicated Senior Medical Centers of Florida, LLC (Dedicated Senior Medical Center Majorca Palms)
- Dedicated Senior Medical Centers of Florida, LLC (IntuneHealth Gladiolus)
- Rizcallah Didier Deek, MD
- Heather Deemer
- Brenda Runyon Deere, MA, LPA, CPLC, CPWLC
- Pasquale John Defiore, PA-C
- Krysta Jean Defty, PA-C
- Brittany Ann Degler, O.D.
- Claude Degraff, M.D.
- Cassandra Dehaney-Duffus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.