Axiom Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

19593 Issued in FL

Legal business name

AXIOM REHABILITATION

Practice address

155 Cranes Roost Blvd
Suite 2090
Altamonte Springs, FL 32701-3468

Phone

(407) 388-8866

Fax

(407) 494-0644

NPI assigned

Nov 2, 2016

Last updated

Nov 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dustin P Moura

Title

Managing Partner

Phone

(407) 388-8866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1396297669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRANES ROOST BLVD",
            "address_2": "SUITE 2090",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013468",
            "telephone_number": "407-388-8866",
            "fax_number": "407-494-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CRANES ROOST BLVD",
            "address_2": "SUITE 2090",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013468",
            "telephone_number": "407-388-8866",
            "fax_number": "407-494-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "MOURA",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "407-388-8866"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "19593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Attachment Services of Central Florida, Inc.
• Patricia C Avalos, MS
• Ariel Aviles
• Awprx, LLC
• Axelta Tech LLC
• Axiomhealth Management LLC (EdemaCare)
• Viviana Maria Ayala, APRN
• Alexander R Ayon
• Monica June Bach, PA-C
• Lauren Bacon, PA-C

• Physical Therapy Clinic/Center in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.