Organization Active NPI

Mayala Corp

Doing business as Adkore Rehabilitation

  • Chiropractor
  • Sanford, FL
National Provider Identifier
1225112048
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAYALA CORP
Doing business as
Adkore Rehabilitation
Practice address
1260 Upsala Rd
Sanford, FL 32771-6668
Phone
(407) 328-7595
Fax
(800) 398-5605
NPI assigned
Oct 25, 2006
Last updated
May 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Melisa Ayala
Title
Owner
Phone
(407) 328-7595

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

1260 Upsala Rd
Sanford, FL 32771-6668

Mailing address

1260 Upsala Rd
Sanford, FL 32771-6668
Phone (407) 328-7595

Other identifiers 2

IdentifierTypeStateIssuer
001882400MedicaidFL
001882403MedicaidFL

Other names 1

  • Adkore Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

3551 W Lake Mary Blvd
Ste 207
Lake Mary, FL 32746
Phone (407) 328-7595

1081 Wp Ball Blvd
Sanford, FL 32771
Phone (407) 328-7595

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1225112048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 UPSALA RD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716668",
            "telephone_number": "407-328-7595",
            "fax_number": "800-398-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 UPSALA RD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716668",
            "telephone_number": "407-328-7595",
            "fax_number": "800-398-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYALA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "MELISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-328-7595"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001882400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001882403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adkore Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adkore Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.