Healthcare Provider Details

I. General information

NPI: 1457239774
Provider Name (Legal Business Name): HANS SMELKER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28811 S TAMIAMI TRL STE 11
BONITA SPRINGS FL
34134-3208
US

IV. Provider business mailing address

13501 TRIPOLI CT
ESTERO FL
33928-6452
US

V. Phone/Fax

Practice location:
  • Phone: 239-686-2353
  • Fax:
Mailing address:
  • Phone: 239-313-1296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberAL3820
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT43467
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: