Olga A Ilagan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5465 Issued in FL

Practice address

3470 N Lecanto Hwy
Beverly Hills, FL 34465-3548

Phone

(352) 746-9500

NPI assigned

Jul 11, 2006

Last updated

Jun 2, 2016By the provider in NPPES

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunshine Medical of North Florida, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Beverly Hills, FL
  • NPI 1992735682
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1679508279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N RUSHMORE LOOP",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653125",
            "telephone_number": "352-817-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653548",
            "telephone_number": "352-746-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAGAN",
        "first_name": "OLGA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danette Herrera, L.P.T.A
• Reese Hewett
• Heather Marie Holmes, APRN, FNP-BC
• Cheryl A Hurley, LCSW
• Deborah E Hurley
• Impact Counseling and Consulting LLC
• Impact Counseling and Consulting LLC
• Impact Counseling and Consulting LLC
• Incite Non-Emergancy Medical Transport
• Iris Behavior Services LLC (Iris Behavior Services)

• Physical Therapist in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.