OrganizationActive
Jaesen Petretta Inc
NPI 1487094983 · Rehabilitation Clinic/Center · Fort Myers, FL
Provider details
- NPI number
- 1487094983
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jaesen Petretta, President(239) 839-3408
- License
- OT10199 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12995 S Cleveland Ave Ste 158
Fort Myers, FL 33907-3867
Phone: (239) 839-3408
Street-level locationGet directions
Mailing address
4281 7th Ave Sw
Naples, FL 34119-4029
Registry dates
- Enumerated
- 2013-06-28
- Last updated
- 2013-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.