Bonita Springs Sports & Physical Therapy Center Inc
NPI 1104893361ActiveOrganization· Physical Therapist· Bonita Springs, FL
Physical Therapist in Bonita Springs, Florida, registered in NPPES in March 2006. The authorized official on file is Sandra L. Klassen, MS PT AT C, Owner Pres Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104893361 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2006 |
| Last updated in NPPES | Mar 2, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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