Organization Active NPI

Central Florida Medical &Rehab Center Inc

Doing business as Cetral Florida Physical Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Casselberry, FL
National Provider Identifier
1053524850
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
HCC4523 Issued in FL
Legal business name
CENTRAL FLORIDA MEDICAL &REHAB CENTER INC
Doing business as
Cetral Florida Physical Rehab
Practice address
320 Piney Ridge Road
Casselberry, FL 32707
Phone
(407) 263-3038
Fax
(407) 263-3079
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Bryan D Borsum, DC
Title
Clinic Director Chiropractor
Phone
(407) 263-3038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X HCC4523 FL Primary

Addresses

Primary practice location

320 Piney Ridge Road
Casselberry, FL 32707

Mailing address

320 Piney Ridge Rd
Casselberry, FL 32707-3806
Phone (407) 263-3038

Other identifiers 2

IdentifierTypeStateIssuer
C4051OtherFLBLUE CROSS BLUE SHEILD
647162OtherFLU.H.C

Other names 1

  • Cetral Florida Physical Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1053524850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PINEY RIDGE RD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073806",
            "telephone_number": "407-263-3038",
            "fax_number": "407-263-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PINEY RIDGE ROAD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "32707",
            "telephone_number": "407-263-3038",
            "fax_number": "407-263-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA MEDICAL &REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "BORSUM",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINIC DIRECTOR CHIROPRACTOR",
        "authorized_official_telephone_number": "407-263-3038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "HCC4523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "C4051",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.H.C",
            "identifier": "647162",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cetral Florida Physical Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.