Organization
BAYONNE PHYSICAL THERAPY INC
Active
Other names
Estates Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE CORTESE P.T. (OWNER)
(239) 352-9884
Entity
Organization
Contact information
Practice address
15205 COLLIER BLVD, SUITE 108, NAPLES, FL 34119-6769
(239) 643-0222
(239) 643-6522
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
053537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5757410001
MEDICARE DME
FL
01
—
Y922J OUT OF NETWORK
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
07/06/2006
Last updated
08/22/2020
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