Physio Med of Orlando

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIO MED OF ORLANDO

Practice address

8853 Commodity Cir Ste 1
Orlando, FL 32819-9010

Phone

(407) 363-3443

Fax

(407) 363-9446

NPI assigned

Dec 11, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Willem G Van de Wouw, PTNPI 1669495297

Title

Owner

Phone

(407) 363-3443

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Willem G Van de Wouw, PT

  • Physical Therapist
  • Orlando, FL
  • NPI 1669495297
  Authorized official Same address or phone
• Jamie Ann Robertson, RPT

  • Physical Therapist
  • Orlando, FL
  • NPI 1558490094
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659431641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8853 COMMODITY CIR STE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199010",
            "telephone_number": "407-363-3443",
            "fax_number": "407-363-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8853 COMMODITY CIR STE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199010",
            "telephone_number": "407-363-3443",
            "fax_number": "407-363-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO MED OF ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VAN DE WOUW",
        "authorized_official_first_name": "WILLEM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-363-3443",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physio Solutions LLC
• Physiocare Medical & Wellness Center
• Physiotherapy Associates
• Physiotherapy Associates Inc (Physiotherapy Associates)
• Physiotherapy Plus Inc (Fyzical Therapy & Balance Centers of Orlando (Fyzical West Orlando))

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.