Active NPI
Steve Carl Ross, OTR
- Skilled Nursing Facility
- Orlando, FL
National Provider Identifier
1528303229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 107838
- Practice address
- 12124 High Tech Ave
Ste 300
Orlando, FL 32817-8373 - Phone
- (407) 249-3179
- NPI assigned
- Dec 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 107838 | TX | Primary |
Addresses
Primary practice location
12124 High Tech Ave
Ste 300
Orlando, FL 32817-8373
Mailing address
12124 High Tech Ave
Ste 300
Orlando, FL 32817-8373
Phone (407) 249-3179
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 |
|---|---|---|---|
| 107838 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1528303229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12124 HIGH TECH AVE",
"address_2": "STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178373",
"telephone_number": "407-249-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12124 HIGH TECH AVE",
"address_2": "STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178373",
"telephone_number": "407-249-3179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "STEVE",
"middle_name": "CARL",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "107838",
"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 Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.