NPIMap

Organization Active NPI

Oviedo Pain Relief and Physical Therapy

  • Physical Therapy Clinic/Center
  • Oviedo, FL
National Provider Identifier
1457674657
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
24049 Issued in FL
Legal business name
OVIEDO PAIN RELIEF AND PHYSICAL THERAPY
Practice address
191 E Mitchell Hammock Rd
Oviedo, FL 32765-4700
Phone
(407) 621-1486
Fax
(888) 840-8939
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Mr. Rex Davadilla, PT
Title
Owner
Phone
(407) 621-1486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 24049 FL Primary

Addresses

Primary practice location

191 E Mitchell Hammock Rd
Oviedo, FL 32765-4700

Mailing address

191 E Mitchell Hammock Rd
Oviedo, FL 32765-4700
Phone (407) 621-1486

National Provider Directory

National Provider Directory

Locations

191 E Mitchell Hammock Rd
Oviedo, FL 32765
Phone (407) 621-1486

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": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1457674657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E MITCHELL HAMMOCK RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654700",
            "telephone_number": "407-621-1486",
            "fax_number": "888-840-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E MITCHELL HAMMOCK RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654700",
            "telephone_number": "407-621-1486",
            "fax_number": "888-840-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIEDO PAIN RELIEF AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "DAVADILLA",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-621-1486",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "24049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.