Jommielle Quiambao

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

30813 Issued in FL

Practice address

1024 E Osceola Pkwy
Kissimmee, FL 34744-1607

Phone

(407) 250-0626

NPI assigned

Mar 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• K & L Therapy Services, Inc.

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1306878475
  NPD (past)

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1649857376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIVER BIRCH CT APT 1127",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115136",
            "telephone_number": "352-221-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 E OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441607",
            "telephone_number": "407-250-0626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7209 Curry Ford Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328225809",
            "country_code": "US",
            "telephone_number": "407-421-7284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIAMBAO",
        "first_name": "JOMMIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "30813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Lab of Florida, Inc
• Quality Life Health Center Inc.
• Eloy Jose Quesada
• Jessica Miriam Quevedo
• Benito Quezada
• Sandra Quijano
• Jolene J Quiles
• Terri Nicole Quinn
• Celia Ann Quinnonez, MD
• Natanya Quinones Bracero

• Physical Therapy Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; 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.