Organization Active NPI

Isidore Therapeutic Healing Center Inc.

  • Pain Clinic/Center
  • Orlando, FL
National Provider Identifier
1144464983
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
CH4255 Issued in FL
Legal business name
ISIDORE THERAPEUTIC HEALING CENTER INC.
Practice address
9521 S Orange Blossom TRL Ste 102
Orlando, FL 32837-8323
Phone
(407) 412-5976
Fax
(407) 412-5978
NPI assigned
Apr 23, 2009
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Susan Schoomaker, D.C
Title
Owner
Phone
(407) 412-5976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X CH4255 FL Primary

Addresses

Primary practice location

9521 S Orange Blossom TRL Ste 102
Orlando, FL 32837-8323

Mailing address

9521 S Orange Blossom TRL Ste 102
Orlando, FL 32837-8323
Phone (407) 412-5976

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1144464983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 S ORANGE BLOSSOM TRL STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378323",
            "telephone_number": "407-412-5976",
            "fax_number": "407-412-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 S ORANGE BLOSSOM TRL STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378323",
            "telephone_number": "407-412-5976",
            "fax_number": "407-412-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISIDORE THERAPEUTIC HEALING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "SCHOOMAKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-412-5976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "CH4255",
            "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 Apr 23, 2009; 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.