Organization Active NPI

Injury Rehabilitation Center, Inc

  • Physical Therapy Clinic/Center
  • Orlando, FL
National Provider Identifier
1063797272
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
INJURY REHABILITATION CENTER, INC
Practice address
672 N Semoran Blvd
Suite 304
Orlando, FL 32807-3350
Phone
(407) 275-7767
Fax
(407) 275-7787
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dayleann Vallejo, LMTNPI 1700196102
Title
Owner
Phone
(407) 275-7767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X FL Primary

Addresses

Primary practice location

672 N Semoran Blvd
Suite 304
Orlando, FL 32807-3350

Mailing address

672 N Semoran Blvd
Suite 304
Orlando, FL 32807-3350
Phone (407) 275-7767

National Provider Directory

National Provider Directory

Locations

672 N Semoran Blvd
Ste 304
Orlando, FL 32807
Phone (407) 275-7767

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1063797272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 N SEMORAN BLVD",
            "address_2": "SUITE 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073350",
            "telephone_number": "407-275-7767",
            "fax_number": "407-275-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 N SEMORAN BLVD",
            "address_2": "SUITE 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073350",
            "telephone_number": "407-275-7767",
            "fax_number": "407-275-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "DAYLEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-275-7767",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.