Active NPI
Island City Urgent Care PA
- General Practice Physician
- Wilton Manors, FL
National Provider Identifier
1245103449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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 PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle J Oleary, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | |||
| Occupational Medicine Physician | 2083X0100X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Sonography Radiologic Technologist | 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 Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11021418 | Other | FL | APRN |
| 1245103349 | Other | FL | NPI |
| 1417679762 | Other | FL | NPI-INDIVIDUAL |
| 15988989 | Other | FL | CAHQ |
| 82907 | Other | FL | PHARMACY |
| 10D2317428 | Other | FL | CLIA |
| 124809600 | Medicaid | FL | |
| JR5657900 | Other | FL | XRAY |
| 1003647587 | Other | FL | NPI-GROUP |
Other names 5
- Island City Med Center
- Island City Urgent Care & Medical Center
- Island City Urgent Care PA
- Island City Medical Center
- Island City Urgent Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Napa, CA
- NPI 1407681588
-
- Nurse Practitioner
- Fort Walton Beach, FL
- NPI 1992512982
-
- Nurse Practitioner
- Lauderdale Lakes, FL
- NPI 1235133786
Multi-Specialty
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.