Organization Active NPI

Professional Therapeutic Care Center,LLC

  • Health Service Clinic/Center
  • Winter Park, FL
National Provider Identifier
1093141160
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AP 3229 Issued in FL
Legal business name
PROFESSIONAL THERAPEUTIC CARE CENTER,LLC
Practice address
4947 N Palmetto Ave
Winter Park, FL 32792-7116
Phone
(407) 629-4325
NPI assigned
Sep 20, 2013
Last updated
Sep 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Mariel L Torres, APNPI 1205261740
Title
Owner/Physician
Phone
(407) 629-4325

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
Health Service Clinic/Center 261QH0100X AP 3229 FL Primary

Addresses

Primary practice location

4947 N Palmetto Ave
Winter Park, FL 32792-7116

Mailing address

4947 N Palmetto Ave
Winter Park, FL 32792-7116
Phone (407) 629-4325

National Provider Directory

National Provider Directory

Locations

4947 Palmetto Ave
Winter Park, FL 32792
Phone (407) 629-4325

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1093141160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4947 N PALMETTO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927116",
            "telephone_number": "407-629-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4947 N PALMETTO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927116",
            "telephone_number": "407-629-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPEUTIC CARE CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "407-629-4325",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AP 3229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.