NPIMap

Organization Active NPI

Absolute Physical Therapy of Southwest Florida LLC

  • Physical Therapist
  • Bonita Springs, FL
National Provider Identifier
1952492993
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 5033 Issued in FL
Legal business name
ABSOLUTE PHYSICAL THERAPY OF SOUTHWEST FLORIDA LLC
Practice address
9401 Fountain Medical CT
Unit D101
Bonita Springs, FL 34135-4612
Phone
(239) 494-4241
Fax
(239) 390-2678
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Ms. Gaynell Ann Anderson, PHYSICAL THERAPISTNPI 1144311150
Title
Owner, Manager
Phone
(239) 494-4241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 5033 FL Primary

Addresses

Primary practice location

9401 Fountain Medical CT
Unit D101
Bonita Springs, FL 34135-4612

Mailing address

9401 Fountain Medical CT
Unit D101
Bonita Springs, FL 34135-4612
Phone (239) 494-4241

National Provider Directory

National Provider Directory

Locations

9401 Fountain Medical Ct
Unit D101
Bonita Springs, FL 34135
Phone (239) 494-4241

9401 Fountain Medical Ct
Bonita Springs, FL 34135
Phone (239) 494-4241

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1952492993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 FOUNTAIN MEDICAL CT",
            "address_2": "UNIT D101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354612",
            "telephone_number": "239-494-4241",
            "fax_number": "239-390-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 FOUNTAIN MEDICAL CT",
            "address_2": "UNIT D101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354612",
            "telephone_number": "239-494-4241",
            "fax_number": "239-390-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE PHYSICAL THERAPY OF SOUTHWEST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GAYNELL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "239-494-4241",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 5033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.