Orange Care LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ORANGE CARE LLC

Practice address

11515 Meadowrun Cir
Fort Myers, FL 33913-9066

Phone

(361) 216-4094

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Jerrolynn Justusson

Title

President

Phone

(800) 743-0396

Specialties & licenses 1

Addresses

Other names 1

• ORANGE REHAB Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krishneshwar Kamineni

  • Physical Therapist
  • New York, NY
  • NPI 1750686986

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1689360281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 MEADOWRUN CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139066",
            "telephone_number": "361-216-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 MEADOWRUN CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139066",
            "telephone_number": "361-216-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-15",
        "status": "A",
        "authorized_official_last_name": "JUSTUSSON",
        "authorized_official_first_name": "JERROLYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-743-0396"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORANGE REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optimum Care SWFL, Inc
• Optimum Healing Circle, LLC
• Opulent Management Consulting Group LLC
• Nike Mary Orakwe, LPN
• James T Oram, M.D.
• Orange Therapy LLC
• Karen Ann Orbaker, MS NP- C FNP
• Megan Orbeck
• Kelli Orcutt, DMD
• Andrea Ordonez

• Physical Therapy Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.