Juliuscaesar Orias Licong, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3105 Innovation Drive
St. Cloud, FL 34769

Phone

(407) 498-0539

Fax

(877) 203-2038

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Quality Therapy & Seniors Fitness Center LLC

  • Physical Therapy Clinic/Center
  • Saint Cloud, FL
  • NPI 1831244631
  Medicare reassignment NPD Authorized official
• Mtech-Health Inc

  • Clinical Medical Laboratory
  • Saint Cloud, FL
  • NPI 1851532709
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1386797975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 INNOVATION DRIVE",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-498-0539",
            "fax_number": "877-203-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 INNOVATION DRIVE",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-498-0539",
            "fax_number": "877-203-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICONG",
        "first_name": "JULIUSCAESAR",
        "middle_name": "ORIAS",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Level Up Physical Therapy Recovery
• Michelie Levrier
• Lisa Darlene Lewis
• Amanda Leyva, BSN, RN, NTMNC,IBCLC
• Sarah Falconer Libby, SARAH FALCONER
• Life & Hope Care LLC
• Lilialis Health & Wellness PLLC
• Gaitree Lilldat, OTR/L
• Yaremys Lima
• Joanne Casanova Limones, FNP-C

• Physical Therapist in St. Cloud, FL
• Providers in St. Cloud, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.