Individual provider Active NPI

Miaflor V Ison, PT, DPT

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1780136721
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1266953 Issued in TX
Practice address
3305 S Orange Ave
Orlando, FL 32806-6125
Phone
(407) 904-0138
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1266953 TX Primary

Addresses

Primary practice location

3305 S Orange Ave
Orlando, FL 32806-6125

Mailing address

3219 S Orange Ave Apt 434
Orlando, FL 32806-6273
Phone (407) 627-9506

Other practice location 1

3219 S Orange Ave Apt 434
Orlando, FL 32806-6273
Phone (407) 627-9506

Other names 1

  • Miaflor G Villamarin Former name

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
1266953TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1780136721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 S ORANGE AVE APT 434",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066273",
            "telephone_number": "407-627-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066125",
            "telephone_number": "407-904-0138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3219 S Orange Ave Apt 434",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328066273",
            "country_code": "US",
            "telephone_number": "407-627-9506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISON",
        "first_name": "MIAFLOR",
        "middle_name": "V",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1266953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIAFLOR",
            "last_name": "VILLAMARIN",
            "middle_name": "G",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 21, 2022; 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.