Active NPI
Madeleen Mae Asilo Osana, P.T.
- Physical Therapist
- Palm Bay, FL
National Provider Identifier
1578883658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25527
- Practice address
- 1326 Malabar Rd SE Unit 234
Palm Bay, FL 32907-2502 - Phone
- (321) 725-2405
- Fax
- (321) 725-2406
- NPI assigned
- Jun 10, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25527 | FL | Primary |
Addresses
Primary practice location
1326 Malabar Rd SE Unit 234
Palm Bay, FL 32907-2502
Mailing address
919 Pine Walk CT NE
Palm Bay, FL 32905-4450
Phone (321) 725-2405
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 |
|---|---|---|---|
| 25527 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cca Enterprises & Ventures, LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Palm Bay, FL
- NPI 1760709000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1578883658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 PINE WALK CT NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054450",
"telephone_number": "321-725-2405",
"fax_number": "321-725-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 MALABAR RD SE UNIT 234",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329072502",
"telephone_number": "321-725-2405",
"fax_number": "321-725-2406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSANA",
"first_name": "MADELEEN MAE",
"middle_name": "ASILO",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.