Jaffe Sports Medicine and Rehabilitation – Physical Medicine & Rehabilitation Physician, NPI 1073714010
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Jaffe Sports Medicine and Rehabilitation
455 Del Prado Blvd S
Cape Coral, FL 339902629
Phone: (239) 610-1565
Fax: (855) 959-1692
Type: Location
7117 Congdon Road
Suite 200
Fort Myers, FL 339086215
Phone: (239) 215-9574
Fax: (855) 959-1692
Type: Location
150 Tamiami Trl N
Naples, FL 341026215
Phone: (239) 610-2955
Fax: (855) 959-1692
Type: Location
1865 VETERANS PARK DR
SUITE# 101
NAPLES, FL 341090447
Phone: (239) 254-7778
Fax: (239) 254-7718
Type: Location
PO BOX 111090
NAPLES, FL 341080119
Phone: (239) 254-7778
Fax: (239) 254-7718
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (287 days ago).
Enrollment records
2
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20051004000223 | O | Clinic/Group Practice | FL | TBD |
| O20100930096997 | O | Physician - Osteopathic Manipulative Medicine | FL | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33990)
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