Decompression and Spinal Rehab of SWFL

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4617 Issued in FL

Legal business name

DECOMPRESSION AND SPINAL REHAB OF SWFL

Practice address

16517 Vanderbilt Dr
Suite 1
Bonita Springs, FL 34134-7550

Phone

(239) 947-7844

Fax

(239) 947-6338

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dan Bartley, D.C.

Title

Clinic Director

Phone

(239) 947-7844

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel John Bartley, D.C.

  • Chiropractor
  • Indianapolis, IN
  • NPI 1265575021
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1891991386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16517 VANDERBILT DR",
            "address_2": "SUITE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347550",
            "telephone_number": "239-947-7844",
            "fax_number": "239-947-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16517 VANDERBILT DR",
            "address_2": "SUITE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347550",
            "telephone_number": "239-947-7844",
            "fax_number": "239-947-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECOMPRESSION AND SPINAL REHAB OF SWFL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "BARTLEY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "239-947-7844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7598",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT4617",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "6185490001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Mary Davis, DVM
• Natalia Daza
• Javier A De la Cruz
• Dean L Rackleff MD PA
• Elizabeth Roberts Dear, PHYSICAL THERAPIST
• Henry L Degenova, DDS
• Armaghan Aimee Dehbozorgi, DMD
• Erianny Del Rio Acosta, RBT
• Claudie I Delgado Feeney, DMD
• Deltona Pharmacy of Florida, LLC

• Physical Therapist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Physical Therapist in Florida

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