Orthopedic Reshabilitation Unit

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1517096 Issued in FL

Legal business name

ORTHOPEDIC RESHABILITATION UNIT

Practice address

1750 Stockton St
Jacksonville, FL 32204-4664

Phone

(904) 308-4700

NPI assigned

Apr 25, 2011

Organization subpart

Yes

Parent organization

ST CATHERINE LABOURE MANOR INCAs reported in NPPES

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

Authorized official

Name

Gene Miyamoto

Title

Coo

Phone

(904) 308-1290

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

St Cathrn Laboure MNR

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.

• St Catherine Laboure Manor Inc

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1316040280
  NPPES parent name

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1215228226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 STOCKTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044664",
            "telephone_number": "904-308-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 STOCKTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044664",
            "telephone_number": "904-308-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC RESHABILITATION UNIT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CATHERINE LABOURE MANOR INC",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "MIYAMOTO",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "904-308-1290"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "1517096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020515000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MAC",
            "identifier": "080473001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ortho One Jacksonville
• Ortho Sport & Spine Physicians of Florida, LLC
• Ortho Sport and Spine Physicians Jacksonville
• Orthodontic Options, LLC
• Orthopedic & Neurosurgery Partners LLC
• Orthotic & Prosthetic Centers, Inc.
• Orthotic & Prosthetic Clinic of Jacksonville, LLC
• Cedric Ortiguera, MD
• Sharleene Ortiz de Jesus
• Maria Teresa Ortiz Fullana, MD

• Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.