PRATHIMA MOORTHY (NPI# 1164537973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164537973 |
| Entity Type | Individual |
| Full Name | PRATHIMA MOORTHY |
| Credential | MD |
| Practice Address |
4760 Tamiami Trail North Suite 27 Naples FL 34109-3884 |
| Mailing Address |
4760 Tamiami Trail N Suite 27 Naples FL 34103 |
| Practice Telephone | 2395939594 |
| Practice Fax Number | 2395934099 |
| Mailing Telephone | 2395939594 |
| Mailing Fax Number | 2395934099 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
ME056744 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | ME056744 | 01 |
| Street Address |
4760 TAMIAMI TRAIL NORTH SUITE 27 |
| City | NAPLES |
| State | FL |
| Zip Code | 34109-3884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811906779 | Shardul Ashwin Nanavati | Internal Medicine | 4760 Tamiami Trail North, Suite 27, Naples, FL 34103-3884 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
| 1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
| 1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
| 1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
| Find all providers in zip 34109 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467970038 | Korunda Medical, LLC | Physical Medicine & Rehabilitation | 8340 Collier Blvd Ste 205, Naples, FL 34114-3589 | 2017-09-05 |
| 1396263877 | Korunda Medical, LLC | Physical Medicine & Rehabilitation | 661 Goodlette Frank Rd Ste 103, Naples, FL 34102-5609 | 2017-09-05 |
| 1205151750 | Alexander John Martinez | Physical Medicine & Rehabilitation | 5668 Strand Ct, Naples, FL 34110-3343 | 2010-03-27 |
| 1477668291 | Pain Management Center of Naples LLC | Physical Medicine & Rehabilitation | 4760 Tamiami Trl N Ste 27, Naples, FL 34103-3057 | 2006-08-20 |
| 1841679461 | E Sean Kelley Md LLC | Physical Medicine & Rehabilitation | 730 Goodlette Rd N, Suite 203, Naples, FL 34102-5616 | 2015-05-28 |
| 1679856710 | Ravi Mirpuri | Physical Medicine & Rehabilitation | 4513 Executive Dr Ste 101, Naples, FL 34119 | 2011-09-26 |
| 1508045048 | Anchor Health Centers Pa | Physical Medicine & Rehabilitation | 730 Goodlette Rd N, Suite 203, Naples, FL 34102-5616 | 2007-11-01 |
| 1164461398 | Edward S Kelley | Physical Medicine & Rehabilitation | 730 Goodlette Rd N, Ste 203, Naples, FL 34102-5616 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
| 1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
| 1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
| 1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
| 1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
| 1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
| 1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
| 1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
| 1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
| 1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
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| 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.