Organization Active NPI

Cintron Rehabilitation Services, LLC

Doing business as SuperNova Pediatric Therapy

  • Physical Therapy Clinic/Center
  • Orlando, FL
National Provider Identifier
1255017554
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CINTRON REHABILITATION SERVICES, LLC
Doing business as
SuperNova Pediatric Therapy
Practice address
2452 Formax Dr
Orlando, FL 32828-9328
Phone
(772) 812-1293
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Dr. Juleah Mirita Cintron, PT, DPTNPI 1023574175
Title
Owner/Physical Therapist
Phone
(772) 812-1293

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2452 Formax Dr
Orlando, FL 32828-9328

Mailing address

2452 Formax Dr
Orlando, FL 32828-9328
Phone (772) 812-1293

Other names 1

  • SuperNova Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

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": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1255017554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 FORMAX DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289328",
            "telephone_number": "772-812-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 FORMAX DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289328",
            "telephone_number": "772-812-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINTRON REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "CINTRON",
        "authorized_official_first_name": "JULEAH",
        "authorized_official_middle_name": "MIRITA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "772-812-1293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SuperNova Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.