Organization Active NPI

Upgrade Fitness and Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1336712025
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
UPGRADE FITNESS AND REHABILITATION LLC
Doing business as
Upgrade Fitness and Rehabilitation LLC
Practice address
2110 Emperor Dr
Kissimmee, FL 34744-6000
Phone
(407) 633-9594
NPI assigned
Jul 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Christian Rodriguez Rodriguez, DPT, PT
Title
MGR
Phone
(407) 633-9594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2110 Emperor Dr
Kissimmee, FL 34744-6000

Mailing address

2110 Emperor Dr
Kissimmee, FL 34744-6000
Phone (407) 633-9594

Other names 1

  • Upgrade Fitness and Rehabilitation LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1336712025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 EMPEROR DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446000",
            "telephone_number": "407-633-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 EMPEROR DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446000",
            "telephone_number": "407-633-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPGRADE FITNESS AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "407-633-9594",
        "authorized_official_credential": "DPT, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upgrade Fitness and Rehabilitation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 20, 2021; 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.