Individual provider Active NPI

Michael Betlach

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1881869162
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14498 Issued in FL
Practice address
2546 Northbrooke Plaza Dr
Naples, FL 34119-7960
Phone
(239) 653-9586
Fax
(239) 653-9587
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT14498 FL Primary

Addresses

Primary practice location

2546 Northbrooke Plaza Dr
Naples, FL 34119-7960

Mailing address

2546 Northbrooke Plaza Dr
Naples, FL 34119-7960
Phone (239) 653-9586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090330000406 FL Practitioner - Physical Therapist in Private Practice 5991862344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy of Southwest Florida IncGroup PAC ID 7810054269, 3 clinicians

Practice addresses (Care Compare)

2546 Northbrooke Plaza Dr
Naples, FL 34119-8100
Phone (239) 653-9586

2590 Northbrooke Plaza Dr
Unit 107
Naples, FL 34119-8100

Elite Physical Therapy of Southwest Florida Inc
2546 Northbrooke Plaza Dr
Naples, FL 34119-8100

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy of Southwest Florida Inc Physical Therapist CurrentSince Feb 16, 2009 Accepting new patients

Locations

2546 Northbrooke Plaza Dr
Naples, FL 34119
Phone (239) 653-9586

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1881869162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 NORTHBROOKE PLAZA DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197960",
            "telephone_number": "239-653-9586",
            "fax_number": "239-653-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 NORTHBROOKE PLAZA DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197960",
            "telephone_number": "239-653-9586",
            "fax_number": "239-653-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETLACH",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14498",
            "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 Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.