SOLARIS REHAB, LLC (NPI# 1093346876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093346876 |
| Entity Type | Organization |
| Organization Name | SOLARIS REHAB, LLC |
| Practice Address |
18301 Trifecta Ln Fort Myers FL 33967-3032 |
| Mailing Address |
Po Box 2386 Bonita Springs FL 34133-2386 |
| Practice Telephone | 2395142310 |
| Mailing Telephone | 2395142310 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | DAVID R BOERKOEL (PRESIDENT) |
| Authorized Official Telephone | 2395142310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7901 Radio Rd, Naples, FL 341046749 | 2395142310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891963 | Solaris Rehab, LLC | Clinic/Center | 7901 Radio Rd, Naples, FL 34104-6749 | 2020-02-04 |
| 1790315117 | Solaris Rehab, LLC | Clinic/Center | 1321 Ne 24th Ave, Cape Coral, FL 33909-2861 | 2020-01-24 |
| 1841833308 | Solaris Rehab, LLC | Clinic/Center | 11725 Twineagles Blvd, Naples, FL 34120-4342 | 2019-10-28 |
| 1326681347 | Solaris Rehab, LLC | Clinic/Center | 5950 Burnham Rd, Naples, FL 34119-8400 | 2019-10-22 |
| 1164990412 | Solaris Rehab, LLC | Clinic/Center | 1000 Airport Pulling Rd S, Naples, FL 34104-4366 | 2018-11-05 |
| 1134696388 | Solaris Rehab, LLC | Clinic/Center | 7650 Gladiolus Dr, Fort Myers, FL 33908-5493 | 2018-10-25 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1013446178 | Solaris Rehab, LLC | Clinic/Center | 2500 Edwards Dr, Fort Myers, FL 33901-2862 | 2017-06-12 |
| 1669901724 | Solaris Rehab, LLC | Clinic/Center | 15800 Beach Walk Blvd, Fort Myers, FL 33908-3388 | 2017-06-12 |
| 1023547189 | Solaris Rehab, LLC | Clinic/Center | 13720 6 Mile Cypress Pkwy Ste 2, Fort Myers, FL 33912-4425 | 2017-06-12 |
| Street Address |
18301 TRIFECTA LN |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33967-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614991 | Michelle Lynn Gerken | Nurse Practitioner | 8141 Pennsylvania Blvd, Fort Myers, FL 33967 | 2018-09-28 |
| 1659892370 | Mary Kathryn Mckeon | Occupational Therapist | 9025 King Rd W, Ft Myers, FL 33967 | 2017-07-03 |
| 1316321003 | Wal-mart Stores East, Lp | Technician/Technologist | 19975 S Tamiami Trail, Fort Myers, FL 33967 | 2015-07-13 |
| 1104970409 | Jennifer J. Paul | Registered Nurse | 17132 Alico Center Road, Suite 1, Fort Myers, FL 33967 | 2007-01-23 |
| 1194750935 | William A. Greider | Dentist | 19004 Birch Rd. Se, Ft. Myers, FL 33967 | 2006-07-11 |
| 1548271869 | Desiree Granados-fischel | Obstetrics & Gynecology | 19348 La Serena Dr, Fort Myers, FL 33967-0525 | 2006-08-11 |
| 1487644555 | Henry Donn Venable | Anesthesiology | 19324 La Serena Dr, Estero, FL 33967-0525 | 2005-10-28 |
| 1407146434 | Barrie Nicole Vilnius | Occupational Therapist | 8815 Largo Mar Dr, Fort Myers, FL 33967-0534 | 2011-04-11 |
| 1760805725 | Hearing Health In Home Care, LLC | Hearing Instrument Specialist | 19760 Maddelena Cir, Fort Myers, FL 33967-0537 | 2014-01-28 |
| 1891110128 | Derick Alexander Winn | Hearing Instrument Specialist | 19760 Maddelena Cir, Fort Myers, FL 33967-0537 | 2014-02-24 |
| Find all providers in zip 33967 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134696388 | Solaris Rehab, LLC | Clinic/Center | 7650 Gladiolus Dr, Fort Myers, FL 33908-5493 | 2018-10-25 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1427575273 | Cora Health Services Inc | Clinic/Center | 19100 S Tamiami Trl Ste 4, Fort Myers, FL 33908-1011 | 2017-08-23 |
| 1013446178 | Solaris Rehab, LLC | Clinic/Center | 2500 Edwards Dr, Fort Myers, FL 33901-2862 | 2017-06-12 |
| 1669901724 | Solaris Rehab, LLC | Clinic/Center | 15800 Beach Walk Blvd, Fort Myers, FL 33908-3388 | 2017-06-12 |
| 1023547189 | Solaris Rehab, LLC | Clinic/Center | 13720 6 Mile Cypress Pkwy Ste 2, Fort Myers, FL 33912-4425 | 2017-06-12 |
| 1073945309 | Solaris Rehab, LLC | Clinic/Center | 2619 Forum Blvd, Fort Myers, FL 33905-5604 | 2013-08-09 |
| 1487094983 | Jaesen Petretta Inc | Clinic/Center | 12995 S Cleveland Ave Ste 158, Fort Myers, FL 33907-3867 | 2013-06-28 |
| 1093944985 | Evans Chiropractic LLC | Clinic/Center | 3632 Evans Ave, Fort Myers, FL 33901-8314 | 2009-07-13 |
| 1861696627 | Therapy First LLC | Clinic/Center | 36 Barkley Cir, Fort Myers, FL 33907-4520 | 2007-06-13 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33967 |
Please comment or provide details below to improve the information on SOLARIS REHAB, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.