Individual provider Active NPI

Fahima Jahan-Flynn, DPT

  • Physical Therapist
  • Oviedo, FL
National Provider Identifier
1487267118
Registry record updated Nov 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36100 Issued in FL
Practice address
1121 Alafaya TRL Ste 1073
Oviedo, FL 32765-4740
Phone
(407) 303-8626
NPI assigned
Aug 24, 2020
Last updated
Nov 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2022

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 PT36100 FL Primary

Addresses

Primary practice location

1121 Alafaya TRL Ste 1073
Oviedo, FL 32765-4740

Mailing address

1121 Alafaya TRL Ste 1073
Oviedo, FL 32765-4740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915000696 FL Practitioner - Physical Therapist in Private Practice 0042695876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Works, LLCGroup PAC ID 1658331707, 5 clinicians

Practice addresses (Care Compare)

1860 State Rd
436 Suite 1000
Winter Park, FL 32792-2255
Phone (407) 657-5029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36100FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Works LLC Physical Therapist CurrentSince May 6, 2022 Accepting new patients
Physiotherapy Works LLC Physical Therapist PastSince May 6, 2022 Accepting new patients

Locations

12301 Lake Underhill Rd
Ste 118
Orlando, FL 32828
Phone (407) 218-4660

1860 State Road 436
Ste 1000
Winter Park, FL 32792
Phone (407) 657-5029

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1487267118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 ALAFAYA TRL STE 1073",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 ALAFAYA TRL STE 1073",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654740",
            "telephone_number": "407-303-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHAN-FLYNN",
        "first_name": "FAHIMA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36100",
            "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 Nov 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.