Individual provider Active NPI

Vivienne Martin Garrido, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Sebring, FL
National Provider Identifier
1679893135
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT12121 Issued in FL
Practice address
6120 U.S. 27 North
Cora Health Services - Rehabilitationand Therapy Clinic
Sebring, FL 33870-1221
Phone
(863) 471-1223
Fax
(863) 471-2015
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT12121 FL Primary

Addresses

Primary practice location

6120 U.S. 27 North
Cora Health Services - Rehabilitationand Therapy Clinic
Sebring, FL 33870-1221

Mailing address

3704 Fairway Road
Sebring, FL 33872-3814

Other names 1

  • Vivienne Rodriguez Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT12121FLMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1679893135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 FAIRWAY ROAD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338723814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 U.S. 27 NORTH",
            "address_2": "CORA HEALTH SERVICES - REHABILITATIONAND THERAPY CLINIC",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701221",
            "telephone_number": "863-471-1223",
            "fax_number": "863-471-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIDO",
        "first_name": "VIVIENNE",
        "middle_name": "MARTIN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT12121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIENNE",
            "last_name": "RODRIGUEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sebring, FL

Sources for this page

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