NPIMap

Organization Active NPI

Physical Therapy at Your Home, Inc

  • Physical Therapist
  • Kissimmee, FL
National Provider Identifier
1699709667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17856 Issued in FL
Legal business name
PHYSICAL THERAPY AT YOUR HOME, INC
Practice address
908 Cannes Dr
Kissimmee, FL 34759-3815
Phone
(321) 437-3550
Fax
(407) 935-9811
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Louis Salas, MS, RPT
Title
Director
Phone
(321) 437-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT17856 FL Primary

Addresses

Primary practice location

908 Cannes Dr
Kissimmee, FL 34759-3815

Mailing address

908 Cannes Dr
Kissimmee, FL 34759-3815
Phone (321) 437-3550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699709667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 CANNES DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593815",
            "telephone_number": "321-437-3550",
            "fax_number": "407-935-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 CANNES DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593815",
            "telephone_number": "321-437-3550",
            "fax_number": "407-935-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AT YOUR HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-437-3550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.