Active NPI
Christian Angelino
- Physical Therapy Assistant
- Kissimmee, FL
National Provider Identifier
1063934750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA26137
- Practice address
- 201 Hilda St Ste 12
Kissimmee, FL 34741-2359 - Phone
- (407) 933-6684
- NPI assigned
- Jul 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA26137 | FL | Primary |
Addresses
Primary practice location
201 Hilda St Ste 12
Kissimmee, FL 34741-2359
Mailing address
213 Alydar CT
Orlando, FL 32824-5861
Other practice location 1
9975 Tavistock Lakes Blvd Ste 140
Orlando, FL 32827-7559
Phone (407) 930-7803
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA26137 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt, Inc | Past | Accepting new patients | |
| Advent Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Orlando, FL
- NPI 1942873476
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1063934750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 ALYDAR CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328245861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HILDA ST STE 12",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412359",
"telephone_number": "407-933-6684"
}
],
"practiceLocations": [
{
"address_1": "9975 Tavistock Lakes Blvd Ste 140",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328277559",
"country_code": "US",
"telephone_number": "407-930-7803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANGELINO",
"first_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA26137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
- Anesthesia Physician Solutions of North Florida, LLC
- Angel Hands Home Health Agency,Inc (Angel Hands Home Care Service)
- Angel Meeks Companion Services
- Angel Messenger Home Health Agency
- Angel Touch Physical Therapy Inc
- Angels Behavioral Assistant LLC
- Angels Touch Dental Office
- Adriana Patricia Angulo Ortiz, LMHC
- Flavia Aniorte Jorge
- Anna's Medical Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.