Organization Active NPI

NMBH Rehab LLC

  • Physical Therapist
  • Maitland, FL
National Provider Identifier
1407557762
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NMBH REHAB LLC
Practice address
331 N Maitland Ave Ste C3
Maitland, FL 32751-4754
Phone
(407) 634-3515
Fax
(920) 696-3515
NPI assigned
Mar 14, 2023
Organization subpart
Yes
Parent organization
NU MIND BODY HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Ehimen Sedenu, P.TNPI 1366825135
Title
Rehab Manager
Phone
(321) 418-4388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 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 (951) 468-6463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231109000050 FL Part B Supplier - Clinic/Group Practice 1153778311 Receives reassigned benefits from 2 practitioners
Practice locations: Maitland, FL

National Provider Directory

National Provider Directory
Part of
Nu Mind Body Health LLC

Locations

10524 Moss Park Rd
#204263
Orlando, FL 32832

10524 Moss Park Rd
#204363
Orlando, FL 32832

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1407557762",
    "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": "951-468-6463"
        },
        {
            "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": "407-634-3515",
            "fax_number": "920-696-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMBH REHAB LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NU MIND BODY HEALTH LLC",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "SEDENU",
        "authorized_official_first_name": "EHIMEN",
        "authorized_official_title_or_position": "REHAB MANAGER",
        "authorized_official_telephone_number": "321-418-4388",
        "authorized_official_credential": "P.T"
    },
    "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 Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.