Individual provider Active NPI

Erik Nowak, DPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1962274308
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36862 Issued in FL
Practice address
8300 Collier Blvd
Naples, FL 34114-3549
Phone
(239) 354-6000
NPI assigned
Oct 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 PT36862 FL Primary

Addresses

Primary practice location

8300 Collier Blvd
Naples, FL 34114-3549

Mailing address

1020 Swallow Ave Unit 302
Marco Island, FL 34145-6273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231127001824 FL Practitioner - Physical Therapist in Private Practice 3779931027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Rehab Associates PAGroup PAC ID 2668407131, 18 clinicians

Practice addresses (Care Compare)

150 Tamiami TRL N
Suite 1
Naples, FL 34102-6215
Phone (239) 254-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36862FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Rehab Associates PA CurrentSince Dec 4, 2023 Accepting new patients

Locations

150 Tamiami Trl N
Ste 1
Naples, FL 34102
Phone (239) 262-8306

1865 Veterans Park Dr
Naples, FL 34109
Phone (239) 597-0787

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

1865 Veterans Park Dr
Ste 101
Naples, FL 34109
Phone (239) 254-7778

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1962274308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SWALLOW AVE UNIT 302",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341456273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143549",
            "telephone_number": "239-354-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "ERIK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36862",
            "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 Oct 30, 2023; 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.