Organization Active NPI

Naples Rehabilitative Services LLC

  • Physical Medicine & Rehabilitation Physician
  • Naples, FL
National Provider Identifier
1982179222
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NAPLES REHABILITATIVE SERVICES LLC
Practice address
406 Vineyards Blvd
Naples, FL 34119-4701
Phone
(239) 353-9317
NPI assigned
Oct 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Mr. Paul Malonson
Title
Chief Operating Officer
Phone
(239) 353-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

406 Vineyards Blvd
Naples, FL 34119-4701

Mailing address

400 Vineyards Blvd
Naples, FL 34119-4701
Phone (239) 353-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190218000754 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547508517 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

400 Vineyards Blvd
Naples, FL 34119
Phone (239) 353-1650

406 Vineyards Blvd
Naples, FL 34119
Phone (239) 353-6161

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1982179222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VINEYARDS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194701",
            "telephone_number": "239-353-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 VINEYARDS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194701",
            "telephone_number": "239-353-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES REHABILITATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "MALONSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "239-353-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.