Provider Demographics
NPI:1417073685
Name:GIAMARINO, GENE THOMAS (PT,DPT,SCS,ATC,CSCS,)
Entity Type:Individual
Prefix:MR
First Name:GENE
Middle Name:THOMAS
Last Name:GIAMARINO
Suffix:
Gender:M
Credentials:PT,DPT,SCS,ATC,CSCS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25241 ELEMENTARY WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-7883
Mailing Address - Country:US
Mailing Address - Phone:239-947-4184
Mailing Address - Fax:239-947-4171
Practice Address - Street 1:3775 SW 28TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33134-7333
Practice Address - Country:US
Practice Address - Phone:305-322-7451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10519225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY112607368OtherAETNA
NY112607368OtherAPWU
NY112607368OtherGUARDIAN
NY750603OtherUNITED HEALTH CARE
NY807494OtherNYSHIP THE EMPIRE PLAN
NY112607368OtherUNICARE
NY907063OtherFIRST HEALTH
NY0089897OtherGHI
NY3299543OtherCIGNA
NY112607368OtherHIP
NY112607368OtherEMPIRE BLUE CHOICE
NYP1024328OtherOXFORD
NY112607368Other1199 NATIONAL BENEFIT FUN
NY112607368OtherMETRACOMP PPO
NY49P0571OtherNY PRESBYTERIAN COM. HLTH
NYQ52191OtherEMPIRE BCBS
NY112607368OtherMETRACOMP PPO