Organization
BAYONNE PHYSICAL THERAPY INC
Active
Organization
BAYONNE PHYSICAL THERAPY INC
Active
Other names
Golden Gate Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE CORTESE P.T. (OWNER)
(239) 352-9884
Entity
Organization
Contact information
Practice address
5263 GOLDEN GATE PKWY, SUITE E, NAPLES, FL 34116-7601
(239) 352-9884
(239) 352-8610
Mailing address
5263 GOLDEN GATE PKWY, SUITE E, NAPLES, FL 34116-7601
(239) 352-9884
(239) 352-8610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
971359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5757410004
MEDICARE DME
FL
01
—
9691212
GHI HEALTH INSURANCE
FL
01
—
CG7750
MEDICARE RAILROAD
FL
01
—
Y905N
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
07/06/2006
Last updated
08/22/2020
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