Organization Active NPI

Gonzalez Rehab Professionals II LLC.

  • Physical Therapist
  • Cape Coral, FL
National Provider Identifier
1912777657
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GONZALEZ REHAB PROFESSIONALS II LLC.
Practice address
4720 SE 15TH Ave Ste 109
Cape Coral, FL 33904-9663
Phone
(786) 542-8777
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Geisys Blanco Olivera
Title
Corp Mger
Phone
(239) 378-3070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4720 SE 15TH Ave Ste 109
Cape Coral, FL 33904-9663

Mailing address

4720 SE 15TH Ave Ste 109
Cape Coral, FL 33904-9663
Phone (239) 378-3070

National Provider Directory

National Provider Directory

Locations

4720 SE 15th Ave
Ste 109
Cape Coral, FL 33904
Phone (239) 378-3070

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1912777657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 SE 15TH AVE STE 109",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049663",
            "telephone_number": "239-378-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 SE 15TH AVE STE 109",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049663",
            "telephone_number": "786-542-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ REHAB PROFESSIONALS II LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "BLANCO OLIVERA",
        "authorized_official_first_name": "GEISYS",
        "authorized_official_title_or_position": "CORP MGER",
        "authorized_official_telephone_number": "239-378-3070"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.