NPIMap

Organization Active NPI

Paradise Care of Orlando, Inc

  • Physical Therapy Clinic/Center
  • Orlando, FL
National Provider Identifier
1205575172
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PARADISE CARE OF ORLANDO, INC
Practice address
1700 N Semoran Blvd Ste 136
Orlando, FL 32807-3558
Phone
(407) 903-6164
Fax
(407) 903-6195
NPI assigned
May 31, 2022
Organization subpart
Yes
Parent organization
PARADISE CARE OF ORLANDO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Junior S Carrascal
Title
Administrator
Phone
(407) 421-8322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1700 N Semoran Blvd Ste 136
Orlando, FL 32807-3558

Mailing address

1700 N Semoran Blvd Ste 136
Orlando, FL 32807-3558
Phone (407) 903-6164

Other identifiers 1

IdentifierTypeStateIssuer
110829500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Paradise Care of Orlando Inc2 organizations share this tax ID, including this one
Part of
Paradise Care of Orlando Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1205575172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N SEMORAN BLVD STE 136",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073558",
            "telephone_number": "407-903-6164",
            "fax_number": "407-903-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N SEMORAN BLVD STE 136",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073558",
            "telephone_number": "407-903-6164",
            "fax_number": "407-903-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE CARE OF ORLANDO, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARADISE CARE OF ORLANDO, INC",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "CARRASCAL",
        "authorized_official_first_name": "JUNIOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-421-8322"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110829500",
            "state": "FL"
        }
    ],
    "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 May 31, 2022; 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.