REHAB SOURCE, P.A. (NPI# 1912233933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912233933 |
| Entity Type | Organization |
| Organization Name | REHAB SOURCE, P.A. |
| Other Organization Name | COLLIER PHYSICAL THERAPY |
| Practice Address |
6825 Davis Blvd Rm 157 Naples FL 34104-5322 |
| Practice Telephone | 2393544116 |
| Mailing Telephone | 2393544116 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |
| Authorized Official Name | MR. EDSEL PAGKANLUNGAN (PRESIDENT) |
| Authorized Official Telephone | 2396437879 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT0008895 | FL | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT0007692 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00104090 | 01 |
| Other Name | Type Code |
|---|---|
| Collier Physical Therapy | Doing Business As Name - Organization |
| Street Address |
6825 DAVIS BLVD RM 157 |
| City | NAPLES |
| State | FL |
| Zip Code | 34104-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184665077 | Terracina, LLC | Assisted Living Facility | 6825 Davis Blvd, Naples, FL 34104-5322 | 2006-06-09 |
| 1992960884 | Lorie Makrush | Physical Therapist | 6825 Davis Blvd, Naples, FL 34104 | 2008-07-21 |
| 1477574655 | Rehab Source P A | Physical Therapist | 6825 Davis Blvd, #157, Naples, FL 34104-5331 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393940 | Teresa Mary Furnari | Physical Therapy Assistant | Terracina Grand, 6824 Davis Blvd, Naples, FL 34104 | 2019-05-29 |
| 1205311305 | Terracina IIi, LLC | Skilled Nursing Facility | 6869 Davis Boulevard, Naples, FL 34104 | 2018-09-25 |
| 1942793302 | Priscila Pena | Technician, Other | 190 Manor Blvd Apt 1013, Naples, FL 34104 | 2018-06-11 |
| 1942792924 | Lorinda Jeanne Roy | Behavior Technician | 2675 Horseshoe Lane, Suite 404, Naples, FL 34104 | 2018-06-05 |
| 1669960613 | Sherry Lynn Francis | Behavior Technician | 723 Coldstream Ct, Naples, FL 34104 | 2018-04-25 |
| 1871049445 | James Eric Ashley | Social Worker | 2286 River Reach Drive, Naples, FL 34104 | 2016-09-01 |
| 1689944134 | Pamala K Bartz Halaschak | Pharmacist | 7301 Radio Rd., Naples, FL 34104 | 2011-12-30 |
| 1922303304 | Milissa A. Yeagley | Behavioral Analyst | 2675 Horseshoe Dr S Ste 404, Naples, FL 34104 | 2011-01-17 |
| 1003066291 | David Guy Malen | Psychiatry & Neurology | 4100 Corporate Square, 21, Naples, FL 34104 | 2008-09-24 |
| 1821129297 | Center for Behavioral Healthcare Pa | Psychologist | 3227 S Horseshoe Drive, Suite 101, Naples, FL 34104 | 2007-03-08 |
| Find all providers in zip 34104 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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 |
| 1942789235 | Function Physical Therapy | Clinic/Center | 8595 Collier Blvd Ste 115, Naples, FL 34114-3556 | 2018-08-08 |
| 1942799424 | Berman Physical Therapy LLC | Clinic/Center | 501 Goodlette Rd N Ste C100, Naples, FL 34102-5665 | 2018-05-09 |
| 1982962817 | Rubino Physical Therapy, Inc. | Clinic/Center | 1277 Rainbow Ct, Naples, FL 34110-1512 | 2012-04-28 |
| 1922385160 | Paradise Medical Rehab LLC | Clinic/Center | 3960 Radio Rd Ste 108, Naples, FL 34104-3741 | 2011-11-15 |
| 1174800924 | Sw Florida Regional Medical Center Inc | Clinic/Center | 5580 19th Ct Sw Ste 2, Naples, FL 34116-5577 | 2011-11-08 |
| 1508141102 | Immokalee Wellness Chiropractic Center Inc. | Clinic/Center | 13260 Immokalee Rd, Suite #2, Naples, FL 34120-1788 | 2011-10-14 |
| 1578878450 | Physionetics LLC | Clinic/Center | 1575 Pine Ridge Rd Ste 15, Naples, FL 34109-2110 | 2010-08-16 |
| 1275845042 | Chiropracticare of Collier Pllc | Clinic/Center | 11725 Collier Blvd Ste A, Naples, FL 34116-6524 | 2010-07-09 |
| 1063687416 | Elite Physical Therapy of Southwest Florida Inc | Clinic/Center | 2546 Northbrooke Plaza, Naples, FL 34119-8100 | 2008-04-28 |
| Find all providers in NAPLES | ||||
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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.