Active NPI
Makaindig R Relampagos, PT
- Physical Therapist
- Spring Hill, FL
National Provider Identifier
1013089077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-0015091
- Practice address
- 465 Mariner Blvd
Spring Hill, FL 34609-5680 - Phone
- (352) 688-8066
- Fax
- (352) 688-8540
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-0015091 | FL | Primary |
Addresses
Primary practice location
465 Mariner Blvd
Spring Hill, FL 34609-5680
Mailing address
15263 Dyla Way
Spring Hill, FL 34604-0736
Phone (352) 796-8807
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-0015091 | Other | FL | THERAPY LICENSE |
| PT-002126 | Other | KY | THERAPY LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-0015091 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1013089077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15263 DYLA WAY",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346040736",
"telephone_number": "352-796-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 MARINER BLVD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346095680",
"telephone_number": "352-688-8066",
"fax_number": "352-688-8540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELAMPAGOS",
"first_name": "MAKAINDIG",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT-0015091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPY LICENSE",
"identifier": "PT-0015091",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPY LICENSE",
"identifier": "PT-002126",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.