NPIMap

Organization Active NPI

Vicory Rehabilitation, Inc.

  • Physical Therapist
  • Apopka, FL
National Provider Identifier
1184698185
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16637 Issued in FL
Legal business name
VICORY REHABILITATION, INC.
Practice address
1509 W Orange Blossom TRL
Apopka, FL 32712-2640
Phone
(407) 814-0436
Fax
(407) 814-0818
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Juan Vicory, PTNPI 1962430256
Title
PT/President
Phone
(407) 814-0436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT16637 FL Primary

Addresses

Primary practice location

1509 W Orange Blossom TRL
Apopka, FL 32712-2640

Mailing address

709 Muirfield Cir
Apopka, FL 32712-2688
Phone (407) 814-9806

Other names 1

  • Performance Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

1509 W Orange Blossom Trl
#T
Apopka, FL 32712
Phone (407) 814-0436

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184698185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MUIRFIELD CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122688",
            "telephone_number": "407-814-9806",
            "fax_number": "407-814-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W ORANGE BLOSSOM TRL",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122640",
            "telephone_number": "407-814-0436",
            "fax_number": "407-814-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICORY REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VICORY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "PT/PRESIDENT",
        "authorized_official_telephone_number": "407-814-0436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.