Organization Active NPI

Pain Specialist of Orlando, Inc.

  • Physical Therapy Clinic/Center
  • Orlando, FL
National Provider Identifier
1619084001
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
HCC5335 Issued in FL
Legal business name
PAIN SPECIALIST OF ORLANDO, INC.
Practice address
6005 Silver Star Rd
Orlando, FL 32808-8201
Phone
(407) 299-5003
Fax
(407) 299-1471
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Juanito T. Estrada
Title
President
Phone
(407) 299-5003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X HCC5335 FL Primary

Addresses

Primary practice location

6005 Silver Star Rd
Orlando, FL 32808-8201

Mailing address

6005 Silver Star Rd
Orlando, FL 32808-8201
Phone (407) 299-5003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1619084001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 SILVER STAR RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328088201",
            "telephone_number": "407-299-5003",
            "fax_number": "407-299-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 SILVER STAR RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328088201",
            "telephone_number": "407-299-5003",
            "fax_number": "407-299-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SPECIALIST OF ORLANDO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "JUANITO",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-299-5003"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "HCC5335",
            "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 Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.