Individual provider Active NPI

Elida Andrea Rocha Arroyo

  • Physical Therapist
  • Kissimmee, FL
National Provider Identifier
1437984515
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41148 Issued in FL
Practice address
395 Village Dr
Kissimmee, FL 34759-4012
Phone
(407) 914-9168
Fax
(407) 337-8005
NPI assigned
Sep 6, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41148 FL Primary

Addresses

Primary practice location

395 Village Dr
Kissimmee, FL 34759-4012

Mailing address

2717 Eagle Canyon Dr S
Kissimmee, FL 34746-3170
Phone (407) 914-9168

Other practice location 1

1060 Cypress Pkwy Ste 104
Kissimmee, FL 34759-3328
Phone (407) 914-9168 ext. 1

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008002449 FL Practitioner - Physical Therapist in Private Practice 1557892015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C3 Wellness, LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

1060 Cypress Pkwy
Ste 104
Kissimmee, FL 34759
Phone (407) 914-9168

1060 Cypress Pkwy
Unit 104
Kissimmee, FL 34759

395 Village Dr
Poinciana, FL 34759
Phone 4079149168 ext. 2

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1437984515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 EAGLE CANYON DR S",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463170",
            "telephone_number": "407-914-9168",
            "fax_number": "407-337-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 VILLAGE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347594012",
            "telephone_number": "407-914-9168",
            "fax_number": "407-337-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Cypress Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593328",
            "country_code": "US",
            "telephone_number": "407-914-9168 x1",
            "fax_number": "407-337-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHA ARROYO",
        "first_name": "ELIDA",
        "middle_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.