Individual provider Active NPI

Damita R Olorunfemi, PTA

  • Physical Therapy Assistant
  • Ocala, FL
National Provider Identifier
1164551149
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
7380 SW 60TH Ave
Suite 3
Ocala, FL 34476-6407
Phone
(352) 840-0004
Fax
(352) 873-2631
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

7380 SW 60TH Ave
Suite 3
Ocala, FL 34476-6407

Mailing address

7380 SW 60TH Ave
Suite3
Ocala, FL 34476-6407
Phone (352) 840-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Therapist & Rehabilitative Group, Inc. Current Accepting new patients

Locations

7380 SW 60th Ave
Ste 3
Ocala, FL 34476
Phone (352) 840-0004

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1164551149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 SW 60TH AVE",
            "address_2": "SUITE3",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766407",
            "telephone_number": "352-840-0004",
            "fax_number": "352-873-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 SW 60TH AVE",
            "address_2": "SUITE 3",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766407",
            "telephone_number": "352-840-0004",
            "fax_number": "352-873-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLORUNFEMI",
        "first_name": "DAMITA",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.