NPIMap

Organization Active NPI

University of Central Florida

  • Orthopedic Physical Therapist
  • Orlando, FL
National Provider Identifier
1154944155
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
UNIVERSITY OF CENTRAL FLORIDA
Practice address
4098 Libra Dr Ste 114
Orlando, FL 32816-8026
Phone
(407) 823-3462
Fax
(407) 823-3464
NPI assigned
May 26, 2020
Organization subpart
Yes
Parent organization
UNIVERSITY OF CENTRAL FLORIDAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Dr. Deborah C German, MD
Title
Vice President for Health Affairs
Phone
(407) 266-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

4098 Libra Dr Ste 114
Orlando, FL 32816-8026

Mailing address

6850 Lake Nona Blvd
3Rd Floor, Attn: Legal
Orlando, FL 32827-7408
Phone (407) 882-0468

Other names 1

  • University of Central Florida Physical Therapy Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070208000253 FL Part B Supplier - Clinic/Group Practice 9739181470 Receives reassigned benefits from 63 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orlando, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Knight Aide12 organizations share this tax ID, including this one
Part of
Knight Aide

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4098 Libra Dr
Ste 114
Orlando, FL 32816
Phone (407) 823-3462

9975 Tavistock Lakes Blvd
Ste 360
Orlando, FL 32827
Phone (407) 266-3627

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1154944155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 LAKE NONA BLVD",
            "address_2": "3RD FLOOR, ATTN: LEGAL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277408",
            "telephone_number": "407-882-0468",
            "fax_number": "407-882-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4098 LIBRA DR STE 114",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168026",
            "telephone_number": "407-823-3462",
            "fax_number": "407-823-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CENTRAL FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CENTRAL FLORIDA",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "GERMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR HEALTH AFFAIRS",
        "authorized_official_telephone_number": "407-266-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Central Florida Physical Therapy Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 26, 2020; 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.