Organization Active NPI

In-Depth Care Physical Therapy

  • Physical Therapist
  • Maitland, FL
National Provider Identifier
1407670235
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IN-DEPTH CARE PHYSICAL THERAPY
Practice address
331 N Maitland Ave Ste B4
Maitland, FL 32751-4753
Phone
(407) 308-1269
NPI assigned
Nov 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Chen-Hsi Hsiao, DPTNPI 1558806752
Title
Manager
Phone
(407) 308-1269

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 B4
Maitland, FL 32751-4753

Mailing address

1866 Stonehill CV
Lake Mary, FL 32746-6242
Phone (407) 308-1269

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250609002048 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5799295747 Receives reassigned benefits from 1 practitioner
Practice locations: Maitland, FL

National Provider Directory

National Provider Directory

Locations

331 N Maitland Ave
Ste B4
Maitland, FL 32751
Phone (407) 308-1269

Practitioners & affiliated clinicians

Practitioners 1

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": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1407670235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 STONEHILL CV",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466242",
            "telephone_number": "407-308-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE STE B4",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514753",
            "telephone_number": "407-308-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-DEPTH CARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "HSIAO",
        "authorized_official_first_name": "CHEN-HSI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-308-1269",
        "authorized_official_credential": "DPT"
    },
    "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 Nov 8, 2024; 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.