Active NPI
NMBH Rehab LLC
- Physical Therapist
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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 LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ehimen Sedenu, P.T
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
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.
-
- Clinic/Center
- Maitland, FL
- NPI 1437763208
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Maitland, FL
- NPI 1366825135
-
- Psychiatric/Mental Health Nurse Practitioner
- Maitland, FL
- NPI 1467701177
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Niceville, FL
- NPI 1275324105
-
- Clinical Social Worker
- Maitland, FL
- NPI 1538709571
-
- Clinical Psychologist
- Maitland, FL
- NPI 1144231580
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.