Individual provider Active NPI

Gabriella Armor, ATC

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1508312836
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37561 Issued in FL
Practice address
1615 Edgewater Dr Ste 180
Orlando, FL 32804-5851
Phone
(407) 601-6412
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A656281948320 FL
Athletic Trainer 2255A2300X AL4619 FL
Physical Therapist 225100000X PT37561 FL Primary

Addresses

Primary practice location

1615 Edgewater Dr Ste 180
Orlando, FL 32804-5851

Mailing address

4562 Carambola Cir S
Coconut Creek, FL 33066-2913
Phone (954) 821-6632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831002125 FL Practitioner - Physical Therapist in Private Practice 2264838226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Sports Medicine Group IncGroup PAC ID 0840225785, 12 clinicians

Practice addresses (Care Compare)

12780 Waterford Lakes Pkwy
Suite 115
Orlando, FL 32828-4501
Phone (407) 207-7188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT37561FLMDPhysical Therapist
A656281948320FLMDAthletic Trainer
AL4619FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Sports Medicine Group Inc Physical Therapist CurrentSince May 2, 2022 Accepting new patients

Locations

1615 Edgewater Dr
Ste 180
Orlando, FL 32804
Phone (407) 601-6412

12780 Waterford Lakes Pkwy
Ste 115
Orlando, FL 32828
Phone (407) 207-7188

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1508312836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 CARAMBOLA CIR S",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662913",
            "telephone_number": "954-821-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 EDGEWATER DR STE 180",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045851",
            "telephone_number": "407-601-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMOR",
        "first_name": "GABRIELLA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "A656281948320",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4619",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37561",
            "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 Apr 11, 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.