NPIMap

Organization Active NPI

Physical Medicine of Kissimmee Inc

Doing business as Advanced Physical Medicine Inc

  • Multi-Specialty Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1033595475
Registry record updated Aug 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
CH10807 Issued in FL
Legal business name
PHYSICAL MEDICINE OF KISSIMMEE INC
Doing business as
Advanced Physical Medicine Inc
Practice address
2920 Pleasant Hill Rd
Kissimmee, FL 34746-3061
Phone
(407) 282-3615
Fax
(407) 275-7221
NPI assigned
Aug 8, 2015
Last updated
Aug 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2015

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

Authorized official

Name
Dr. Angel M De Los Reyes, D.C.NPI 1750628954
Title
Owner
Phone
(407) 282-3615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X CH10807 FL Primary

Addresses

Primary practice location

2920 Pleasant Hill Rd
Kissimmee, FL 34746-3061

Mailing address

2920 Pleasant Hill Rd
Kissimmee, FL 34746-3061
Phone (407) 282-3615

Other names 1

  • Advanced Physical Medicine Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2920 Pleasant Hill Rd
Kissimmee, FL 34746
Phone (407) 282-3516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438992000000",
    "number": "1033595475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 PLEASANT HILL RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463061",
            "telephone_number": "407-282-3615",
            "fax_number": "407-275-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 PLEASANT HILL RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463061",
            "telephone_number": "407-282-3615",
            "fax_number": "407-275-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE OF KISSIMMEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-08",
        "last_updated": "2015-08-08",
        "status": "A",
        "authorized_official_last_name": "DE LOS REYES",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-282-3615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "CH10807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physical Medicine Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2015; 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.