Active NPI
Edith Bort, MANAGER
- Assisted Living Facility
- Orlando, FL
National Provider Identifier
1003288499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 13771
- Practice address
- 8378 Fort Clinch Ave
Orlando, FL 32822-7179 - Phone
- (407) 719-0496
- Fax
- (407) 374-9948
- NPI assigned
- Oct 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 13771 | FL | Primary |
Addresses
Primary practice location
8378 Fort Clinch Ave
Orlando, FL 32822-7179
Mailing address
227 Woodbury Pines Cir
Orlando, FL 32828-9086
Phone (407) 719-0496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13771 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1003288499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 WOODBURY PINES CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328289086",
"telephone_number": "407-719-0496",
"fax_number": "407-374-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8378 FORT CLINCH AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328227179",
"telephone_number": "407-719-0496",
"fax_number": "407-374-9948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORT",
"first_name": "EDITH",
"credential": "MANAGER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-23",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "13771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.