MEDICARE: ZENERGY PHYSICAL THERAPY LLC

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
1	261QP2000X	Physical Therapy Clinic/Center	PT12905	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DO321A	OTHER	FL	PTAN

General Provider Information

NPI Number	:	1326352550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENERGY PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	8981 DANIELS CENTER DR STE 203
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-0307
Country	:	US
Telephone Number	:	239-362-1485
Fax Number	:	239-822-6609

Provider Business Practice Location Address
First Line	:	8981 DANIELS CENTER DR STE 203
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-0307
Country	:	US
Telephone Number	:	239-362-1485
Fax Number	:	239-822-6609

Authorized Official
Title or Position	:	OWNER
Name	:	PATRICK LS WONG
Credential	:	DPT
Telephone Number	:	239-362-1485

Provider Enumeration Date	:	07/29/2010
Last Update Date	:	01/30/2026

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