Ocoee Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OCOEE PHYSICAL THERAPY, INC.

Practice address

3112 Ocoee St N
Cleveland, TN 37312-5382

Phone

(423) 559-1537

Fax

(423) 559-1539

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Phyllis Lee Peterson, PT, CHT

Title

President

Phone

(423) 559-1537

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1801827902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125382",
            "telephone_number": "423-559-1537",
            "fax_number": "423-559-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125382",
            "telephone_number": "423-559-1537",
            "fax_number": "423-559-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOEE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-559-1537",
        "authorized_official_credential": "PT, CHT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE ID NUMBER",
            "identifier": "192907",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3651441",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN ID NUMBER",
            "identifier": "686135",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocoee Hospital Corporation (Bradley Memorial Hospital)
• Ocoee Medical LLC
• Ocoee OB/GYN, PC
• Ocoee Oral Surgery PC
• Ocoee Pediatrics of Cleveland, PC
• Ocoee Professional Pharmacy LLC (Ocoee Professional Pharmacy)
• Ocoee Regional Health Corporation (Cleveland Family Health Care Center)
• Mateo Lukas Odeh, RBT
• James Frederick Ohlsson, DDS
• Adesola Ojo

• Physical Therapy Clinic/Center in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.