Organization Active NPI

Children's Care Campus, Inc.

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1265510523
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60080980 Issued in FL
Legal business name
CHILDREN'S CARE CAMPUS, INC.
Practice address
196 South Semoran Blvd.
Orlando, FL 32807-3293
Phone
(407) 513-3000
Fax
(407) 515-6537
NPI assigned
Nov 2, 2006
Last updated
Apr 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Ms. Melissia Ohlmacher
Title
Financial Services Manager
Phone
(407) 513-3000

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 60080980 FL Primary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 60080980 FL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 60080980 FL
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 60080980 FL
Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227800000X 60080980 FL
Neonatal/Pediatric Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278P3900X 60080980 FL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 60080980 FL
Medically Fragile Infants and Children Day Care 261QM3000X 60080980 FL

Addresses

Primary practice location

196 South Semoran Blvd.
Orlando, FL 32807-3293

Mailing address

4448 Edge Water Drive
Orlando, FL 32804-1216
Phone (407) 513-3000

Other identifiers 1

IdentifierTypeStateIssuer
240014601MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Children's Care Campus Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

196 S Semoran Blvd
Orlando, FL 32807

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1265510523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4448 EDGE WATER DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041216",
            "telephone_number": "407-513-3000",
            "fax_number": "407-515-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 SOUTH SEMORAN BLVD.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073293",
            "telephone_number": "407-513-3000",
            "fax_number": "407-515-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CARE CAMPUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "OHLMACHER",
        "authorized_official_first_name": "MELISSIA",
        "authorized_official_title_or_position": "FINANCIAL SERVICES MANAGER",
        "authorized_official_telephone_number": "407-513-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "60080980",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "60080980",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "60080980",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "60080980",
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": "FL",
            "license": "60080980",
            "primary": false
        },
        {
            "code": "2278P3900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Neonatal/Pediatrics",
            "state": "FL",
            "license": "60080980",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "60080980",
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "60080980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240014601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 14, 2015; 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.