Patient Care Specialty Group Florida LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PATIENT CARE SPECIALTY GROUP FLORIDA LLC

Practice address

3800 Town Ctr Blvd
Orlando, FL 32837-6196

Phone

(407) 505-4602

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew PecoraNPI 1376637553

Title

Owner

Phone

(609) 744-0050

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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.

• Trivia Coley, DPT, CLT

  • Physical Therapist
  • Orlando, FL
  • NPI 1528332699
  Medicare reassignment NPD
• Landon Richard Francis

  • Occupational Therapist
  • Kissimmee, FL
  • NPI 1831761220
  Medicare reassignment NPD
• Michelle Ashley Gaboian, MA CCC SLP

  • Speech-Language Pathologist
  • Longwood, FL
  • NPI 1255613683
  Medicare reassignment NPD
• Gregory Inegbe, DPT

  • Physical Therapist
  • Homosassa, FL
  • NPI 1134887755
  Medicare reassignment NPD
• Bernadette Mallari

  • Physical Therapist
  • Altamonte Springs, FL
  • NPI 1760854913
  Medicare reassignment NPD
• Andrew Paul Pecora, D.O.

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1376637553
  NPD (past) Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1154109692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MAIN ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 TOWN CTR BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376196",
            "telephone_number": "407-505-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Main St",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088373418",
            "country_code": "US",
            "telephone_number": "609-521-4746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATIENT CARE SPECIALTY GROUP FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A",
        "authorized_official_last_name": "PECORA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-744-0050"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathology Specialists P a
• Pathway Homes of Florida, Inc.
• Pathways Therapy Center LLC
• Sangeeta Pati, M.D., FACOG
• Patient Care Medical Group Florida LLC
• Patient First Medical Transportation LLC
• Abhijit Yashwant Patil, M.D.
• Mrunal Abhijit Patil, MD
• Sunita A Patil, MD
• Veena H Patil, MD

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.