Organization Active NPI

Island City Urgent Care PA

  • General Practice Physician
  • Wilton Manors, FL
National Provider Identifier
1245103449
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ISLAND CITY URGENT CARE PA
Practice address
1442 NE 26TH St
Wilton Manors, FL 33305-1322
Phone
(954) 391-7160
Fax
(954) 393-0811
NPI assigned
Sep 25, 2025
Organization subpart
Yes
Parent organization
ISLAND CITY URGENT CARE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Kyle J Oleary, APRNNPI 1417679762
Title
Owner
Phone
(954) 391-7160

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0006X
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X
Radiology Clinic/Center 261QR0200X
Student Health Clinic/Center 261QS1000X
Urgent Care Clinic/Center 261QU0200X
Occupational Medicine Clinic/Center 261QX0100X
Clinical Medical Laboratory 291U00000X
Point of Service 305S00000X
Non-Pharmacy Dispensing Site 332900000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1442 NE 26TH St
Wilton Manors, FL 33305-1322

Mailing address

1442 NE 26TH St
Wilton Manors, FL 33305-1322
Phone (954) 391-7160

Other identifiers 9

IdentifierTypeStateIssuer
11021418OtherFLAPRN
1245103349OtherFLNPI
1417679762OtherFLNPI-INDIVIDUAL
15988989OtherFLCAHQ
82907OtherFLPHARMACY
10D2317428OtherFLCLIA
124809600MedicaidFL
JR5657900OtherFLXRAY
1003647587OtherFLNPI-GROUP

Other names 5

  • Island City Med Center Doing business as
  • Island City Urgent Care & Medical Center Doing business as
  • Island City Urgent Care PA Doing business as
  • Island City Medical Center Other name
  • Island City Urgent Care Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kyle.oleary.1@33042.direct.athenahealth.com Health Information Exchange (HIE) Island City Urgent Care

National Provider Directory

National Provider Directory
Part of
Island City Urgent Care

Interoperability endpoints

  • Direct secure messaging: kyle.oleary.1@33042.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1245103449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051322",
            "telephone_number": "954-391-7160",
            "fax_number": "954-393-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051322",
            "telephone_number": "954-391-7160",
            "fax_number": "954-393-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CITY URGENT CARE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISLAND CITY URGENT CARE PA",
        "enumeration_date": "2025-09-25",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "OLEARY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-391-7160",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "11021418",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245103349",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDIVIDUAL",
            "identifier": "1417679762",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAHQ",
            "identifier": "15988989",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "82907",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2317428",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124809600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "XRAY",
            "identifier": "JR5657900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-GROUP",
            "identifier": "1003647587",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyle.oleary.1@33042.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "athenahealth",
            "affiliationName": "Island City Urgent Care",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1442 NE 26th St",
            "city": "Wilton Manors",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333051322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Island City Med Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island City Urgent Care & Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island City Urgent Care PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island City Medical Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Island City Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.