DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. TRINA JANE PUDDEFOOT DSC. PT

MEDICARE: DR. TRINA JANE PUDDEFOOT DSC. PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2225100000XPhysical TherapistPT 21360FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104919935
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRINA JANE PUDDEFOOT DSC. PT
Provider Business Mailing Address
First Line : 12220 TOWNE LAKE DR STE 1
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8021
Country : US
Telephone Number : 239-910-5199
Fax Number : 239-433-6703
Provider Business Practice Location Address
First Line : 12220 TOWNE LAKE DR STE 1
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8021
Country : US
Telephone Number : 239-433-6700
Fax Number : 239-433-6703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 09/25/2025

Similar Medicare Providers

1558835405 — CORINA FELICIA GODOY
Practice Location Address:
12220 TOWNE LAKE DR STE 1
FORT MYERS, FL
33913-8021
Practice Phone: 239-433-6700
Practice Fax:
1477651669 — HEALTH PLANNING COUNCIL OF SOUTHWEST FLORIDA, INC
Practice Location Address:
12220 TOWNE LAKE DR STE 1 , SUITE 401
FORT MYERS, FL
33913-8021
Practice Phone: 239-433-6700
Practice Fax: 239-433-6706
1477632719 — MRS. IVORY TEODORO FOX P.T.
Practice Location Address:
12220 TOWNE LAKE DR STE 1
FORT MYERS, FL
33913-8021
Practice Phone: 239-433-6700
Practice Fax:
1770644759 — MRS. HILDA BERNHARDT M.S.
Practice Location Address:
12220 TOWNE LAKE DR STE 1
FORT MYERS, FL
33913-8021
Practice Phone: 239-433-6700
Practice Fax: 239-433-6706
1669788717 — MRS. ANGELA MITCHELL B.L.S
Practice Location Address:
12220 TOWNE LAKE DR STE 1
FORT MYERS, FL
33913-8021
Practice Phone: 239-433-6700
Practice Fax:
1700186160 — MRS. SHANNON LEIGH BARBER MA, CCC-SLP
Practice Location Address:
12220 TOWNE LAKE DR STE 1
FORT MYERS, FL
33913-8021
Practice Phone: 239-433-6700
Practice Fax:

Directions to “ DR. TRINA JANE PUDDEFOOT DSC. PT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.