Organization Active NPI

Chrysalis Center for Autism Corp

  • Physical Therapist
  • Winter Garden, FL
National Provider Identifier
1235742701
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHRYSALIS CENTER FOR AUTISM CORP
Practice address
13750 W Colonial Dr Ste 350-121
Winter Garden, FL 34787-4204
Phone
(407) 285-7907
NPI assigned
Aug 25, 2020
Last updated
Aug 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Bridgett DimantNPI 1053489328
Title
Director
Phone
(407) 285-7907

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 Therapist 225100000X Primary

Addresses

Primary practice location

13750 W Colonial Dr Ste 350-121
Winter Garden, FL 34787-4204

Mailing address

13750 W Colonial Dr Ste 350-121
Winter Garden, FL 34787-4204
Phone (407) 285-7907

National Provider Directory

National Provider Directory

Locations

13750 W Colonial Dr
Ste 350121
Winter Garden, FL 34787
Phone (407) 285-7907

Practitioners & affiliated clinicians

Practitioners 1

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": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1235742701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 W COLONIAL DR STE 350-121",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874204",
            "telephone_number": "407-285-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 W COLONIAL DR STE 350-121",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874204",
            "telephone_number": "407-285-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS CENTER FOR AUTISM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "DIMANT",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-285-7907"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

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