Jeremy Ponce de Leon Orcino

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 25055 Issued in FL

Practice address

10100 Hillview Dr
Pensacola, FL 32514-5436

Phone

(850) 478-5119

NPI assigned

Jan 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1689905275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 FOREST OAK DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325065558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 HILLVIEW DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145436",
            "telephone_number": "850-478-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORCINO",
        "first_name": "JEREMY",
        "middle_name": "PONCE DE LEON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 25055",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimal Home Care LLC
• Option Care Enterprises, Inc.
• Option Care Enterprises, Inc.
• Optometric Physician Services, LLC
• Keena C Oran, AUDIOLOGIST
• Kevin Gilbert Ordiales, PMHNP
• Fernanda Ordonez, LMHC
• Katrina Lynn Orend
• Reid Kutin Orenstein, PHARMD
• Nicole Kathryn Orgeron, L.M.H.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.