Envision Physical Therapy, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PT17963 Issued in FL

Legal business name

ENVISION PHYSICAL THERAPY, INC

Practice address

956 International Pkwy Ste 1580
Lake Mary, FL 32746-5219

Phone

(407) 936-0314

Fax

(407) 936-0316

NPI assigned

Oct 15, 2008

Last updated

Apr 3, 2023By 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

Mrs. Judy Serafin

Title

Owner

Phone

(321) 439-4594

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Boren Baker, PT

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1134221641
  Medicare reassignment Care Compare group NPD
• Stephanie Nicole Serafin, D.P.T.

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1295089498
  Medicare reassignment Care Compare group NPD
• Nathan Becker, DPT

  • Physical Therapist
  • Orlando, FL
  • NPI 1669023941
  Medicare reassignment NPD
• Joshua Macleod, L.M.T.

  • Massage Therapist
  • Lake Mary, FL
  • NPI 1992931463
  NPD (past)
• Leif Artur Martensson, D.C.

  • Chiropractor
  • Lake Mary, FL
  • NPI 1114134855
  NPD (past)
• Amanda Ragens

  • Physical Therapy Assistant
  • Lake Mary, FL
  • NPI 1093220329
  NPD (past)
• Lauren Elizabeth Rogers, DPT

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1154552487
  NPD (past)
• Maureen A Shaw, MS, ATC, LMT

  • Massage Therapist
  • Lake Mary, FL
  • NPI 1679666184
  NPD (past)
• Emilie Ann Watson, PTA

  • Specialist
  • Lake Mary, FL
  • NPI 1669765582
  NPD (past)
• Daniel S Yachter, D.C

  • Chiropractor
  • Lake Mary, FL
  • NPI 1376855486
  NPD (past)
• Francis W Brooks, D.O.

  • Family Medicine Physician
  • Verona, PA
  • NPI 1134284177
  NPD (past)
• Mandi Puzon, LMT

  • Massage Therapist
  • Anchorage, AK
  • NPI 1891921227
  NPD (past)

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1437301025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 INTERNATIONAL PKWY STE 1580",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465219",
            "telephone_number": "407-936-0314",
            "fax_number": "407-936-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 INTERNATIONAL PKWY STE 1580",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465219",
            "telephone_number": "407-936-0314",
            "fax_number": "407-936-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "SERAFIN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-439-4594",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "PT17963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• London R England-Lewis, CRNA
• Tonicia Engram, BEHAVIOR ASSISTANT
• Sonia R Enriquez, M.D.
• Tamarah Enriquez, MSN, ARNP, FNP
• Envision Imaging LLC
• Lindsay Marie Epperhart, PHARMD
• Olubunmi Olatayo Esan, M.D
• Gabrielle Nurely Escobar
• Keyla Lorraine Escobar, APRN
• Forooz Rose Esmaili

• Clinic/Center in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.