Active NPI
Cheryl Kathleen Parham, P.T.
- Physical Therapist
- Maitland, FL
National Provider Identifier
1568677060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21159
- Practice address
- 555 Winderley PL
Suite 100
Maitland, FL 32751-7225 - Phone
- (407) 661-1963
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21159 | FL | Primary |
| Physical Therapist | 225100000X | 2459 | OK |
Addresses
Primary practice location
555 Winderley PL
Suite 100
Maitland, FL 32751-7225
Mailing address
9316 Northlake Pkwy
Apt. #115
Orlando, FL 32827-5735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Greenacres, FL 33463
Phone (866) 573-2556
910 Regency SQ
Vero Beach, FL 32967-1800
Phone (772) 213-0423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21159 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Mederi of Orange County, Inc. | Past | Accepting new patients |
Locations
910 Regency Sq
Vero Beach, FL 32967
Phone (772) 213-0423
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
Organizations & group practices 4
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.
-
- Physical Therapist
- Vero Beach, FL
- NPI 1710789565
-
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
-
- Home Health Agency
- Maitland, FL
- NPI 1932195088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568677060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9316 NORTHLAKE PKWY",
"address_2": "APT. #115",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328275735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 WINDERLEY PL",
"address_2": "SUITE 100",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517225",
"telephone_number": "407-661-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARHAM",
"first_name": "CHERYL",
"middle_name": "KATHLEEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "21159",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2459",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.