MEDICARE: SPORTS SPECIALTY & REHABILITATION CENTER INC

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	225X00000X	Occupational Therapist		FL
2	225100000X	Physical Therapist		FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	68-6520	OTHER	FL	MEDICARE GROUP

General Provider Information

NPI Number	:	1578562419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPORTS SPECIALTY & REHABILITATION CENTER INC

Provider Business Mailing Address
First Line	:	2328 HANCOCK BRIDGE PKWY
Second Line	:	SUITE 103
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1459
Country	:	US
Telephone Number	:	239-573-1518
Fax Number	:	239-573-7356

Provider Business Practice Location Address
First Line	:	2328 HANCOCK BRIDGE PKWY
Second Line	:	SUITE 103
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1459
Country	:	US
Telephone Number	:	239-574-7557
Fax Number	:	239-574-1315

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ELKE C PRICE
Credential	:
Telephone Number	:	239-573-1518

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	01/18/2016

Similar Medicare Providers

1407783624 — MS. JENNIFER LYNNE PARKINSON
Practice Location Address:

2328 HANCOCK BRIDGE PKWY UNIT 114D
CAPE CORAL, FL
33990-1459

Practice Phone: 239-464-9934
Practice Fax: 239-464-9934

1811996812 — WILLIAM DANIEL VOGELBACH PT
Practice Location Address:

2328 HANCOCK BRIDGE PKWY , SUITE 103
CAPE CORAL, FL
33990-1459

Practice Phone: 239-574-7557
Practice Fax: 239-574-1315

1831198787 — JAMES WADE STOEBERL PT
Practice Location Address:

2328 HANCOCK BRIDGE PKWY , SUITE 103
CAPE CORAL, FL
33990-1459

Practice Phone: 239-574-7557
Practice Fax: 239-574-1315

1407077233 — MRS. PATRICIA BENNETT SLP
Practice Location Address:

2328 HANCOCK BRIDGE PKWY
CAPE CORAL, FL
33990-1459

Practice Phone: 239-573-2368
Practice Fax:

1629282256 — C.C. WELLNESS CENTER, INC.
Practice Location Address:

2328 HANCOCK BRIDGE PKWY
CAPE CORAL, FL
33990-1459

Practice Phone: 239-772-2452
Practice Fax:

1407177033 — S.P.O.T. THERAPY CENTER
Practice Location Address:

2328 HANCOCK BRIDGE PKWY , SUITE 106
CAPE CORAL, FL
33990-1459

Practice Phone: 239-573-2368
Practice Fax: 239-573-2302

Directions to “SPORTS SPECIALTY & REHABILITATION CENTER INC ” 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 © 2007-2026 (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.