Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sia Medical Center Corp

Organization Physical Therapist · NPI 1669062691

Sia Medical Center Corp is a Physical Therapist in Fort Myers, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12811 Kenwood Ln Ste 105
Fort Myers, FL 33907-5643
Phone: (305) 833-9690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1669062691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Scull-Justiz — President · (305) 833-9690
NPI enumeratedJanuary 23, 2021
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address12811 Kenwood Ln Ste 105, Fort Myers, FL 33907-5643

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