Gerald G Eidens, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 24445 Issued in FL

Practice address

3820 Colonial Blvd
Suite 103
Fort Myers, FL 33966-1094

Phone

(239) 433-1777

Fax

(239) 433-1776

NPI assigned

Jan 24, 2007

Last updated

Oct 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5757/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dizziness & Balance Center of Southwest Florida PA

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1851585707
  NPD (past)
• Stanly Orthopaedic and Hand Surgery Clinic, PA

  • Orthopaedic Hand Surgery Physician
  • Albemarle, NC
  • NPI 1629049168
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1982759775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 COLONIAL BLVD",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661094",
            "telephone_number": "239-433-1777",
            "fax_number": "239-433-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 COLONIAL BLVD",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661094",
            "telephone_number": "239-433-1777",
            "fax_number": "239-433-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDENS",
        "first_name": "GERALD",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 24445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eh Health Home Health of Florida, LLC (Enhabit Home Health)
• Terri S Ehmann
• Jessica Ehrke
• Margaret L Eicher, PA C
• David Eichten, D.O.
• Shari Marie Eischens
• Heidi M Eisele
• Eric Scott Eisenberg, PA-C
• Howard Eisenberg, MD
• Larry Steven Eisenfeld, M.D.

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.