1093099566 NPI number — COMPREHENSIVE REHABILITATION RN PT SERVICES PLLC

Table of content: DR. STEVEN WYATT CARTER DDS (NPI 1578653606)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093099566 NPI number — COMPREHENSIVE REHABILITATION RN PT SERVICES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMPREHENSIVE REHABILITATION RN PT SERVICES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093099566
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
621 CAPE CORAL PKWY E STE 19B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAPE CORAL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33904-8548
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
239-314-7730
Provider Business Mailing Address Fax Number:
239-314-7741

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
621 CAPE CORAL PKWY E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAPE CORAL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33904-7515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-314-7730
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2011

Additional Information

Authorized Official

Authorized Official Last Name:
DOR
Authorized Official First Name:
SAHADIA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
914-434-5775

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 115459600 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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