Active NPI
Fox Rehab PT FL LLC
- Physical Therapist
- Orlando, FL
National Provider Identifier
1336719624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FOX REHAB PT FL LLC
- Practice address
- 9682 Lake Nona Village PL
Orlando, FL 32827-7315 - Phone
- (877) 407-3422
- NPI assigned
- Jun 29, 2021
- 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
- Neil Weisshaar
- Title
- Chief of Staff
- Phone
- (877) 407-3422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
9682 Lake Nona Village PL
Orlando, FL 32827-7315
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other practice location 1
3800 W Town Center Blvd
Orlando, FL 32837-6196
Phone (877) 407-3422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211102000699 | FL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7416345921 |
Receives reassigned benefits from 110 practitioners Practice locations: Sarasota, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 114
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Saint Cloud, FL
- NPI 1265267512
FL, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632787200000",
"number": "1336719624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CARNEGIE PLZ",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031000",
"telephone_number": "877-407-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9682 LAKE NONA VILLAGE PL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277315",
"telephone_number": "877-407-3422"
}
],
"practiceLocations": [
{
"address_1": "3800 W Town Center Blvd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328376196",
"country_code": "US",
"telephone_number": "877-407-3422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FOX REHAB PT FL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-29",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A",
"authorized_official_last_name": "WEISSHAAR",
"authorized_official_first_name": "NEIL",
"authorized_official_title_or_position": "CHIEF OF STAFF",
"authorized_official_telephone_number": "877-407-3422"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 28, 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.