Active NPI
Baseline Rehabilitation Inc
- Physical Therapy Clinic/Center
- Winter Park, FL
National Provider Identifier
1114076932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- BASELINE REHABILITATION INC
- Practice address
- 1400 S Orlando Ave
Suite 207
Winter Park, FL 32789-5543 - Phone
- (407) 835-8818
- Fax
- (407) 835-8878
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Duggan
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1400 S Orlando Ave
Suite 207
Winter Park, FL 32789-5543
Mailing address
4714 Gettysburg Rd
Legal Dept
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2355952 | Other | FL | AETNA HMO |
| 7346150 | Other | FL | AETNA PPO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1114076932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"address_2": "LEGAL DEPT",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S ORLANDO AVE",
"address_2": "SUITE 207",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327895543",
"telephone_number": "407-835-8818",
"fax_number": "407-835-8878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASELINE REHABILITATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "DUGGAN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2355952",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7346150",
"state": "FL"
}
],
"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 Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.