Central Florida Therapist & Rehabilitative Group, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12870 Issued in FL

Legal business name

CENTRAL FLORIDA THERAPIST & REHABILITATIVE GROUP, INC.

Practice address

7380 SW 60TH Ave
Ste 3
Ocala, FL 34476-6467

Phone

(352) 840-0004

Fax

(352) 873-2631

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Raifu Adewale Olorunfemi, P.T., M.S.NPI 1235167974

Title

Director of Rehabilitative Services

Phone

(352) 840-0004

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 686564

Legal name

CENTRAL FL THERAPY AND REHABILITATIVE GROUP INC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Dec 9, 1998

Last certification

Jun 24, 2024

Ownership / control type

Proprietary

Facility address

7380 SW 60TH Ave
Ocala, FL 34476

Locations

Practitioners 2

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

• Raifu Adewale Olorunfemi, P.T., M.S.

  • Physical Therapist
  • Ocala, FL
  • NPI 1235167974
  NPD (past) Authorized official
• Damita R Olorunfemi, PTA

  • Physical Therapy Assistant
  • Ocala, FL
  • NPI 1164551149
  NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1013945757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 SW 60TH AVE",
            "address_2": "STE 3",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766467",
            "telephone_number": "352-840-0004",
            "fax_number": "352-873-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 SW 60TH AVE",
            "address_2": "STE 3",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766467",
            "telephone_number": "352-840-0004",
            "fax_number": "352-873-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA THERAPIST & REHABILITATIVE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "OLORUNFEMI",
        "authorized_official_first_name": "RAIFU",
        "authorized_official_middle_name": "ADEWALE",
        "authorized_official_title_or_position": "DIRECTOR OF REHABILITATIVE SERVICES",
        "authorized_official_telephone_number": "352-840-0004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T., M.S."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885832200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Ocala, FL
• Providers in Ocala, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.