Active NPI
Physiotherapy Plus Inc
Doing business as Fyzical Therapy & Balance Centers of Orlando (Fyzical West Orlando)
- Physical Therapist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 21887
- Legal business name
- PHYSIOTHERAPY PLUS INC
- Doing business as
- Fyzical Therapy & Balance Centers of Orlando (Fyzical West Orlando)
- Practice address
- 6388 Silver Star Rd Ste 1E
Orlando, FL 32818-3235 - Phone
- (321) 369-9133
- Fax
- (888) 696-1020
- NPI assigned
- May 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Idler Bonhomme, LMT, MPT, DPT
- Title
- Clinical Dir
- Phone
- (321) 369-9133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 21887 | FL | Primary |
| Massage Therapist | 225700000X | MA 32752 | FL |
Addresses
Primary practice location
6388 Silver Star Rd Ste 1E
Orlando, FL 32818-3235
Mailing address
6388 Silver Star Rd
1E
Orlando, FL 32818-3235
Phone (321) 369-9133
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100816700 | Medicaid | FL | |
| 017686500 | Medicaid | FL | |
| 891208400 | Medicaid | FL |
Other names 1
- Fyzical Therapy & Balance Centers of Orlando (Fyzical West Orlando)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1603 S Hiawassee Rd
Ste 105
Orlando, FL 32835
Phone (407) 293-2150
51 NW Carolina St
Ste 103
West Melbourne, FL 32904
Phone (321) 757-0626
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Orlando, FL
- NPI 1427008556
-
- Physical Therapist
- Altamonte Springs, FL
- NPI 1902075526
-
- Physical Therapist
- Largo, FL
- NPI 1619578564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609804800000",
"number": "1508817537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6388 SILVER STAR RD",
"address_2": "1E",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328183235",
"telephone_number": "321-369-9133",
"fax_number": "888-696-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6388 SILVER STAR RD STE 1E",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328183235",
"telephone_number": "321-369-9133",
"fax_number": "888-696-1020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOTHERAPY PLUS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A",
"authorized_official_last_name": "BONHOMME",
"authorized_official_first_name": "IDLER",
"authorized_official_title_or_position": "CLINICAL DIR",
"authorized_official_telephone_number": "321-369-9133",
"authorized_official_credential": "LMT, MPT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 21887",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 32752",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100816700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017686500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891208400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fyzical Therapy & Balance Centers of Orlando (Fyzical West Orlando)",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 5, 2021; 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.