Organization Active NPI

Optimal Rehab Care, LLC

  • Physical Medicine & Rehabilitation Physician
  • Kissimmee, FL
National Provider Identifier
1265031272
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Zulicka Y Morales-RosadoNPI 1124289228
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20210121002607 FL Part B Supplier - Clinic/Group Practice 9335553932 Receives reassigned benefits from 1 practitioner
Practice locations: Kissimmee, FL; Maitland, FL

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.

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.

Verify at the official NPI Registry.