Active NPI
Ehimen Sedenu
- Physical Therapist
- Maitland, FL
National Provider Identifier
1366825135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23541
- Practice address
- 331 N Maitland Ave Ste C3
Maitland, FL 32751-4754 - Phone
- (321) 418-4388
- NPI assigned
- Jun 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23541 | FL | Primary |
Addresses
Primary practice location
331 N Maitland Ave Ste C3
Maitland, FL 32751-4754
Mailing address
10524 Moss Park Rd # 204-363
Orlando, FL 32832-5898
Phone (407) 634-3515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23541 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nu Mind Body Health LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Maitland, FL
- NPI 1407557762
-
- Clinic/Center
- Maitland, FL
- NPI 1437763208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1366825135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10524 MOSS PARK RD # 204-363",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328325898",
"telephone_number": "407-634-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 N MAITLAND AVE STE C3",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514754",
"telephone_number": "321-418-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDENU",
"first_name": "EHIMEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-29",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "23541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.