Individual provider Active NPI

Jason Tyler Cirolia, PT, DPT

  • Orthopedic Physical Therapist
  • Kissimmee, FL
National Provider Identifier
1760754170
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
26536 Issued in FL
Practice address
831 Simpson Rd
Kissimmee, FL 34744-5328
Phone
(407) 483-5757
Fax
(407) 350-5291
NPI assigned
Jan 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 26536 FL Primary

Addresses

Primary practice location

831 Simpson Rd
Kissimmee, FL 34744-5328

Mailing address

13730 Mirror Lake Dr
Orlando, FL 32828-7422
Phone (386) 589-5289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26536FLMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1760754170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13730 MIRROR LAKE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287422",
            "telephone_number": "386-589-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445328",
            "telephone_number": "407-483-5757",
            "fax_number": "407-350-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIROLIA",
        "first_name": "JASON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "26536",
            "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 21, 2019; 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.