Individual provider Active NPI

Ismary Padilla Rodriguez

  • Behavior Technician
  • Saint Cloud, FL
National Provider Identifier
1043955081
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-209966 Issued in FL
Practice address
4318 Oak CT
Saint Cloud, FL 34769-1649
Phone
(407) 495-7913
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-209966 FL Primary

Addresses

Primary practice location

4318 Oak CT
Saint Cloud, FL 34769-1649

Mailing address

4318 Oak CT
Saint Cloud, FL 34769-1649
Phone (407) 495-7913

Other identifiers 1

IdentifierTypeStateIssuer
113895000MedicaidFL

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

LicenseStateTypeSpecialty
RBT-22-209966FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
United Wellness Center LLC CurrentSince May 8, 2022 Accepting new patients

Locations

6250 Hazeltine National Dr
Ste 102
Orlando, FL 32822
Phone (407) 237-9955

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1043955081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 OAK CT",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691649",
            "telephone_number": "407-495-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 OAK CT",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691649",
            "telephone_number": "407-495-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA RODRIGUEZ",
        "first_name": "ISMARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-209966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113895000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.