Provider Demographics
NPI:1235912296
Name:JOSEPH, CAVY (DPT)
Entity Type:Individual
Prefix:
First Name:CAVY
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 PIPER BLVD STE 18
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1385
Mailing Address - Country:US
Mailing Address - Phone:239-593-3010
Mailing Address - Fax:239-593-3033
Practice Address - Street 1:1201 PIPER BLVD STE 18
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1385
Practice Address - Country:US
Practice Address - Phone:239-593-3010
Practice Address - Fax:239-593-3033
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT401842251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic