Active NPI
Austin Bermudez, DPT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1457907784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34836
- Practice address
- 12702 Science Dr
Orlando, FL 32826-3016 - Phone
- (407) 904-0131
- NPI assigned
- Aug 13, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34836 | FL | Primary |
Addresses
Primary practice location
12702 Science Dr
Orlando, FL 32826-3016
Mailing address
PO Box 781051
Orlando, FL 32878-1051
Phone (321) 243-5047
Other practice location 1
4780 Data Court, Orlando
Orlando, FL 32817
Phone (407) 852-3347
Other practice location 2
5800 Golf Club Pkwy
Orlando, FL 32808-4800
Phone (407) 852-3300
Other practice location 3
3305 S Orange Ave
Orlando, FL 32806-6125
Phone (407) 852-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT34836 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1457907784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781051",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328781051",
"telephone_number": "321-243-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12702 SCIENCE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328263016",
"telephone_number": "407-904-0131"
}
],
"practiceLocations": [
{
"address_1": "4780 Data Court, Orlando",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "32817",
"country_code": "US",
"telephone_number": "407-852-3347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5800 Golf Club Pkwy",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328084800",
"country_code": "US",
"telephone_number": "407-852-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3305 S Orange Ave",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328066125",
"country_code": "US",
"telephone_number": "407-852-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "AUSTIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-13",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.