Provider Demographics
NPI:1326233248
Name:PIERCE, JOHN M (DPT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:M
Last Name:PIERCE
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:9170 GALLERIA CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-4343
Mailing Address - Country:US
Mailing Address - Phone:239-594-5412
Mailing Address - Fax:239-594-2853
Practice Address - Street 1:9170 GALLERIA CT
Practice Address - Street 2:SUITE 200
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-4343
Practice Address - Country:US
Practice Address - Phone:239-594-5412
Practice Address - Fax:239-594-2853
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2012-10-16
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Provider Licenses
StateLicense IDTaxonomies
FL18720225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE4814YMedicare PIN