NPIMap

Organization Active NPI

Nucare Therapy LLC

  • Physical Therapy Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1720452550
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT24417 Issued in FL
Legal business name
NUCARE THERAPY LLC
Practice address
2895 Oconnell Dr
Kissimmee, FL 34741-7753
Phone
(407) 906-9003
Fax
(407) 641-8381
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Mrs. Carolina Rincon, MSPT, CESNPI 1982840310
Title
Physical Therapist/ Owner
Phone
(407) 906-9003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT24417 FL Primary

Addresses

Primary practice location

2895 Oconnell Dr
Kissimmee, FL 34741-7753

Mailing address

2895 Oconnell Dr
Kissimmee, FL 34741-7753
Phone (407) 906-9003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160525002747 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153611546 Receives reassigned benefits from 3 practitioners
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

4347 Hunters Park Ln
Orlando, FL 32837
Phone (407) 906-9003

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1720452550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 OCONNELL DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417753",
            "telephone_number": "407-906-9003",
            "fax_number": "407-641-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 OCONNELL DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417753",
            "telephone_number": "407-906-9003",
            "fax_number": "407-641-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCARE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "RINCON",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "407-906-9003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT, CES"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT24417",
            "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 Nov 17, 2015; 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.