NPIMap

Organization Active NPI

Mind-Body Therapy Inc.

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1073845533
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7232 Issued in FL
Legal business name
MIND-BODY THERAPY INC.
Practice address
3844 Ironwedge Dr
Orlando, FL 32808-3041
Phone
(407) 463-9284
Fax
(407) 296-7105
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Miss Andrea Stair, P.T.
Title
President
Phone
(407) 463-9284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT7232 FL Primary

Addresses

Primary practice location

3844 Ironwedge Dr
Orlando, FL 32808-3041

Mailing address

3844 Ironwedge Dr
Orlando, FL 32808-3041
Phone (407) 463-9284

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1073845533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 IRONWEDGE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083041",
            "telephone_number": "407-463-9284",
            "fax_number": "407-296-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 IRONWEDGE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083041",
            "telephone_number": "407-463-9284",
            "fax_number": "407-296-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND-BODY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "STAIR",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-463-9284",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7232",
            "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 Feb 9, 2010; 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.