Active NPI
Camile Cesar De Leon, PT
- Physical Therapist
- Kissimmee, FL
National Provider Identifier
1093980237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7516
- Practice address
- 809 E Oak St
Suite 105
Kissimmee, FL 34744-5834 - Phone
- (407) 483-9540
- Fax
- (407) 483-9541
- NPI assigned
- Apr 29, 2008
- 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 Therapist | 225100000X | PT7516 | FL | Primary |
Addresses
Primary practice location
809 E Oak St
Suite 105
Kissimmee, FL 34744-5834
Mailing address
809 Oak St.
Suite 105
Kissimmee, FL 34744-5834
Phone (407) 483-9540
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 |
|---|---|---|---|
| PT7516 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1093980237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 OAK ST.",
"address_2": "SUITE 105",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445834",
"telephone_number": "407-483-9540",
"fax_number": "407-483-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 E OAK ST",
"address_2": "SUITE 105",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445834",
"telephone_number": "407-483-9540",
"fax_number": "407-483-9541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "CAMILE",
"middle_name": "CESAR",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT7516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.