NPIMap

Organization Active NPI

Island City Urgent Care PA

  • Urgent Care Clinic/Center
  • Wilton Manors, FL
National Provider Identifier
1003647587
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ISLAND CITY URGENT CARE PA
Practice address
1442 NE 26TH St
Wilton Manors, FL 33305-1322
Phone
(954) 391-7160
Fax
(954) 393-0811
NPI assigned
Aug 8, 2024
Reactivated
Oct 13, 2025
Organization subpart
Yes
Parent organization
ISLAND CITY URGENT CARE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle J Oleary, APRN
Title
Owner
Phone
(954) 391-7160

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0105X
Multi-Specialty Clinic/Center 261QM1300X
Radiology Clinic/Center 261QR0200X
Student Health Clinic/Center 261QS1000X
Urgent Care Clinic/Center 261QU0200X Primary
Occupational Medicine Clinic/Center 261QX0100X
Point of Service 305S00000X
Non-Pharmacy Dispensing Site 332900000X
Durable Medical Equipment & Medical Supplies 332B00000X
Clinic Pharmacy 3336C0002X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X
Occupational Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0106X

Addresses

Primary practice location

1442 NE 26TH St
Wilton Manors, FL 33305-1322

Mailing address

1442 NE 26TH St
Wilton Manors, FL 33305-1322
Phone (954) 391-7160

Other identifiers 9

IdentifierTypeStateIssuer
809990700OtherOWCP PROVIDER ID
10D2317428OtherFLCLIA
JR5657900OtherFLRADIOLOGYXRAY
124809600MedicaidFL
1417679762OtherFLNPI
82907OtherFLPHARMACY
11021418OtherFLAPRN
1003647587OtherFLNPI
1245103449OtherFLNPI

Other names 5

  • Island City Medical Center Doing business as
  • Island City Urgent Care Doing business as
  • Island City Urgent Care & Medical Center Doing business as
  • Island City Urgent Care PA Other name
  • Island City Urgent Care and Medical Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kyle.oleary.1@33042.direct.athenahealth.com Health Information Exchange (HIE) Island City Urgent Care PA

National Provider Directory

National Provider Directory
Part of
Island City Urgent Care

Locations

1442 NE 26th St
Wilton Manors, FL 33305
Phone (954) 391-7160

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1003647587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051322",
            "telephone_number": "954-391-7160",
            "fax_number": "954-393-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051322",
            "telephone_number": "954-391-7160",
            "fax_number": "954-393-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CITY URGENT CARE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISLAND CITY URGENT CARE PA",
        "enumeration_date": "2024-08-08",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "deactivation_date": "2025-08-19",
        "reactivation_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "OLEARY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-391-7160",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP PROVIDER ID",
            "identifier": "809990700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2317428",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOLOGYXRAY",
            "identifier": "JR5657900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124809600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417679762",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "82907",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "11021418",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003647587",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245103449",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyle.oleary.1@33042.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "athenahealth",
            "affiliationName": "Island City Urgent Care PA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1442 NE 26th St",
            "city": "Wilton Manors",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333051322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Island City Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island City Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island City Urgent Care & Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island City Urgent Care & Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island City Urgent Care PA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Island City Urgent Care and Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.