Provider Demographics
NPI:1821982299
Name:PRESLEY PHYSICAL REHABILITATION PLLC
Entity type:Organization
Organization Name:PRESLEY PHYSICAL REHABILITATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PRESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-246-6878
Mailing Address - Street 1:12650 SW 71ST AVE
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-6237
Mailing Address - Country:US
Mailing Address - Phone:786-246-6878
Mailing Address - Fax:
Practice Address - Street 1:14305 COLLIER BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-9589
Practice Address - Country:US
Practice Address - Phone:239-383-6000
Practice Address - Fax:239-383-6395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty