Individual provider Active NPI

Joseph M Philactos, HAS, LPN

  • Hearing Instrument Specialist
  • North Fort Myers, FL
National Provider Identifier
1871871970
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5821 Issued in FL
Practice address
3434 Hancock Bridge Pkwy Ste 310-G
North Fort Myers, FL 33903-7094
Phone
(844) 443-2735
NPI assigned
Jul 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN287575 PR
Hearing Instrument Specialist 237700000X F03596 PA
Hearing Instrument Specialist 237700000X AS5821 FL Primary

Addresses

Primary practice location

3434 Hancock Bridge Pkwy Ste 310-G
North Fort Myers, FL 33903-7094

Mailing address

43796 Sparrow Dr
Punta Gorda, FL 33982-9413
Phone (484) 961-9961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN287575PRMDLicensed Practical Nurse
AS5821FLMDHearing Instrument Specialist
F03596PAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Florida Holdings LLC Hearing Instrument Specialist CurrentSince May 18, 2025 Accepting new patients
First Class for Less, LLC Hearing Instrument Specialist CurrentSince Feb 2, 2025 Accepting new patients

Locations

3434 Hancock Bridge Pkwy
Ste 310G
North Fort Myers, FL 33903
Phone (844) 443-2735

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1871871970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43796 SPARROW DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339829413",
            "telephone_number": "484-961-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 HANCOCK BRIDGE PKWY STE 310-G",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037094",
            "telephone_number": "844-443-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILACTOS",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "HAS, LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PR",
            "license": "PN287575",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "F03596",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.