Active NPI
Alicia Gendron
- Orthopedic Physical Therapist
- Orlando, FL
National Provider Identifier
1073396164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT40205
- Practice address
- 4698 E Michigan St
Orlando, FL 32812-5234 - Phone
- (407) 658-1732
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT40205 | FL | Primary |
Addresses
Primary practice location
4698 E Michigan St
Orlando, FL 32812-5234
Mailing address
6130 SW 109TH Ave
Miami, FL 33173-1249
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 |
|---|---|---|---|
| PT40205 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Past | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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 and National Provider Directory roles.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1073396164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6130 SW 109TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331731249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4698 E MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328125234",
"telephone_number": "407-658-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDRON",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT40205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Gemini Group of Florida (Medex Transport)
- Gencare Kids Ppec Plus Learning Center Orlando, LLC
- Gencare Resources, LLC (GenCare Resources Home Health Care)
- Gencare Resources, LLC
- Elisabeth Gencorelli
- Gene-E Mobile Diagnostics LLC
- General Dentistry Phu T Nguyen DDS PA
- Generic Specialties Inc
- Generous Touch Transport Services
- Genesis Health Development, Inc. (Brooks Health Development)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.