Organization Active NPI

Sunshine Physical Therapy & Fitness Center Inc

  • Rehabilitation Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1144315391
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SUNSHINE PHYSICAL THERAPY & FITNESS CENTER INC
Practice address
801 W Oak St Ste 104
Kissimmee, FL 34741-6605
Phone
(407) 343-8001
Fax
(407) 343-8321
NPI assigned
Oct 4, 2006
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Mr. Mahmood Amir
Title
President
Phone
(407) 343-8001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU
Rehabilitation Clinic/Center 261QR0400X FL Primary

Addresses

Primary practice location

801 W Oak St Ste 104
Kissimmee, FL 34741-6605

Mailing address

801 W Oak St Ste 104
Kissimmee, FL 34741-6605
Phone (407) 343-8001

Other identifiers 4

IdentifierTypeStateIssuer
7414493OtherFLAETNA
306235OtherFLAVMED
GG9OtherFLBLUE CROSS/BLUE SHIELD
1674534OtherFLCIGNA

National Provider Directory

National Provider Directory

Locations

5190 10th Ave N
Greenacres, FL 33463
Phone (561) 629-5193

3116 66th St N
St Petersburg, FL 33710
Phone (727) 344-3800

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1144315391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W OAK ST STE 104",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416605",
            "telephone_number": "407-343-8001",
            "fax_number": "407-343-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W OAK ST STE 104",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416605",
            "telephone_number": "407-343-8001",
            "fax_number": "407-343-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PHYSICAL THERAPY & FITNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "AMIR",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-343-8001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7414493",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "306235",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "GG9",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1674534",
            "state": "FL"
        }
    ],
    "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 May 29, 2015; 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.