Individual provider Active NPI

Caitlin Reilly Torres, APRN

  • Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1225623291
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11011704 Issued in FL
Practice address
2940 Mallory Cir Ste 205
Kissimmee, FL 34747-1818
Phone
(407) 507-6976
NPI assigned
Mar 2, 2021
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11011704 FL Primary

Addresses

Primary practice location

2940 Mallory Cir Ste 205
Kissimmee, FL 34747-1818

Mailing address

2940 Mallory Cir Ste 205
Kissimmee, FL 34747-1818
Phone (407) 507-6976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211210001541 FL Practitioner - Nurse Practitioner 6901296615 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11011704FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalizing Infusion Therapies, LLC CurrentSince Nov 1, 2021 Accepting new patients
Macdermott Group, LLC Nurse Practitioner CurrentSince Jun 17, 2024 Accepting new patients
Joint Regeneration and Rehabilitation Center LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

100 E Dakin Ave
Kissimmee, FL 34741
Phone (321) 233-9282

2940 Mallory Cir
Ste 205
Kissimmee, FL 34747
Phone (407) 507-6976

9685 Lake Nona Village Pl
Ste 205
Orlando, FL 32827
Phone (407) 627-1148

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1225623291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 MALLORY CIR STE 205",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471818",
            "telephone_number": "407-507-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 MALLORY CIR STE 205",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471818",
            "telephone_number": "407-507-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "CAITLIN",
        "middle_name": "REILLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11011704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.