NPIMap

Organization Active NPI

In-Home Therapy of Central Florida Inc

  • Physical Therapy Clinic/Center
  • Clermont, FL
National Provider Identifier
1407164841
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT5880 Issued in FL
Legal business name
IN-HOME THERAPY OF CENTRAL FLORIDA INC
Practice address
3721 S Hwy 27 Ste B
Clermont, FL 34711-7919
Phone
(352) 255-6130
Fax
(407) 378-4154
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Ms. Mary Angelie Alcala Garay, RPT
Title
Owner/Provider
Phone
(352) 255-6130

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X PT5880 FL Primary

Addresses

Primary practice location

3721 S Hwy 27 Ste B
Clermont, FL 34711-7919

Mailing address

614 E Hwy 50 # 129
Clermont, FL 34711-3164
Phone (352) 255-6130

Other practice location 1

265 W Hwy 50
Clermont, FL 34711-3027
Phone (352) 255-6130

Other names 1

  • All Active Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101230000541 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395875504 Receives reassigned benefits from 2 practitioners
Practice locations: Clermont, FL; Orlando, FL

National Provider Directory

National Provider Directory

Locations

3725 S Highway 27
Ste 103
Clermont, FL 34711
Phone (352) 255-6130

205 Hatteras Ave
Ste 105
Clermont, FL 34711
Phone (352) 255-6130

Practitioners & affiliated clinicians

Practitioners 3

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": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1407164841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E HWY 50 # 129",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113164",
            "telephone_number": "352-255-6130",
            "fax_number": "407-378-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 S HWY 27 STE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117919",
            "telephone_number": "352-255-6130",
            "fax_number": "407-378-4154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 W Hwy 50",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347113027",
            "country_code": "US",
            "telephone_number": "352-255-6130",
            "fax_number": "407-378-4154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IN-HOME THERAPY OF CENTRAL FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "GARAY",
        "authorized_official_first_name": "MARY ANGELIE",
        "authorized_official_middle_name": "ALCALA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "352-255-6130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT5880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Active Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All Active Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.