Individual provider Active NPI

Josue Maysonet, D.C., CCSP

  • Rehabilitation Chiropractor
  • Kissimmee, FL
National Provider Identifier
1639412927
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH10909 Issued in FL
Practice address
1958 E Osceola Pkwy
Kissimmee, FL 34743-8626
Phone
(407) 483-3598
Fax
(407) 483-3599
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 00610 PR
Rehabilitation Chiropractor 111NR0400X CH10909 FL Primary

Addresses

Primary practice location

1958 E Osceola Pkwy
Kissimmee, FL 34743-8626

Mailing address

274 Satinwood Cir
Kissimmee, FL 34743-8610
Phone (407) 334-9988

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00610PRMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1639412927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 SATINWOOD CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438610",
            "telephone_number": "407-334-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 E OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438626",
            "telephone_number": "407-483-3598",
            "fax_number": "407-483-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYSONET",
        "first_name": "JOSUE",
        "name_prefix": "Dr.",
        "credential": "D.C., CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PR",
            "license": "00610",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH10909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.