Active NPI
Optimal Rehab Care, LLC
- Physical Medicine & Rehabilitation Physician
- Kissimmee, FL
National Provider Identifier
1265031272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- OPTIMAL REHAB CARE, LLC
- Practice address
- 700 W Oak St
Kissimmee, FL 34741-4996 - Phone
- (787) 235-7695
- NPI assigned
- Oct 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zulicka Y Morales-Rosado
- Title
- Ao
- Phone
- (787) 235-7695
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
700 W Oak St
Kissimmee, FL 34741-4996
Mailing address
539 Eagle Pointe S
Kissimmee, FL 34746-6031
Phone (787) 235-7695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Kissimmee, FL
- NPI 1124289228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639699200000",
"number": "1265031272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 EAGLE POINTE S",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347466031",
"telephone_number": "787-235-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414996",
"telephone_number": "787-235-7695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL REHAB CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-21",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A",
"authorized_official_last_name": "MORALES-ROSADO",
"authorized_official_first_name": "ZULICKA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "787-235-7695"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.