Organization Active NPI

Pursuit Integrative Pain and Advanced Therapeutics PLLC

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1760210652
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PURSUIT INTEGRATIVE PAIN AND ADVANCED THERAPEUTICS PLLC
Practice address
1004 Delridge Ave
Orlando, FL 32804-3548
Phone
(407) 494-8835
NPI assigned
Jul 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Ronald Miller
Title
Owner/DPT
Phone
(407) 495-8761

Specialties & licenses 1

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

Addresses

Primary practice location

1004 Delridge Ave
Orlando, FL 32804-3548

Mailing address

1004 Delridge Ave
Orlando, FL 32804-3548
Phone (407) 494-8835

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1760210652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 DELRIDGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043548",
            "telephone_number": "407-494-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 DELRIDGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043548",
            "telephone_number": "407-494-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURSUIT INTEGRATIVE PAIN AND ADVANCED THERAPEUTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER/DPT",
        "authorized_official_telephone_number": "407-495-8761"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.