NPIMap

Organization Active NPI

Celebration Orthopedic and Sports Medicine Institute Inc

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1659254456
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CELEBRATION ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE INC
Practice address
6718 Lake Nona Blvd Ste 110
Orlando, FL 32827-7984
Phone
(321) 939-0222
NPI assigned
Jul 29, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CELEBRATION ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Eneida Carrasquillo
Title
Operations Manager
Phone
(321) 939-0222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X
Podiatrist 213E00000X

Addresses

Primary practice location

6718 Lake Nona Blvd Ste 110
Orlando, FL 32827-7984

Mailing address

2954 Mallory Cir Ste 101
Celebration, FL 34747-1822
Phone (321) 939-0222

Other names 1

  • Celebration Orthopaedic and Sports Medicine Institute, Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251107002447 FL DME Supplier - Physician - Family Practice 6901851013 Practice locations: Orlando, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Celebration Orthopedic and Sports Medicine Institute Inc3 organizations share this tax ID, including this one
Part of
Celebration Orthopedic and Sports Medicine Institute Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2100 Ocoee Apopka Rd
Ste 220
Apopka, FL 32703
Phone (407) 303-4190

410 Celebration Pl
Ste 106
Kissimmee, FL 34747
Phone (407) 303-4829

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1659254456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 MALLORY CIR STE 101",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471822",
            "telephone_number": "321-939-0222",
            "fax_number": "321-939-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 LAKE NONA BLVD STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277984",
            "telephone_number": "321-939-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRATION ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CELEBRATION ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE INC",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "CARRASQUILLO",
        "authorized_official_first_name": "ENEIDA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "321-939-0222"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebration Orthopaedic and Sports Medicine Institute, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.