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NPI Code Detail

MEDICARE: ADVANCED PHYSICAL THERAPY & REHAB OF CAPE CORAL, LLC

MEDICARE: ADVANCED PHYSICAL THERAPY & REHAB OF CAPE CORAL, 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
1261QR0400XRehabilitation Clinic/Center
2261QP2000XPhysical Therapy Clinic/CenterPT14620FL

Other Identifiers

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

General Provider Information

NPI Number : 1891990206
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED PHYSICAL THERAPY & REHAB OF CAPE CORAL, LLC
Provider Business Mailing Address
First Line : PO BOX 932184
Second Line :
City : ATLANTA
State : GA
Zip : 31193-2184
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1402 SE 16TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-3819
Country : US
Telephone Number : 239-772-2363
Fax Number : 239-772-2365
Authorized Official
Title or Position : VICE PRESIDENT
Name : AMANDA STREETER
Credential :
Telephone Number : 800-699-9395
Provider Enumeration Date : 06/15/2007
Last Update Date : 05/29/2024

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Directions to “ADVANCED PHYSICAL THERAPY & REHAB OF CAPE CORAL, LLC ” Practice Location

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