Roseviminda Tordecillas, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19728 Issued in FL

Practice address

21234 Olean Blvd Ste 5
Port Charlotte, FL 33952-6721

Phone

(941) 625-0555

Fax

(941) 625-1970

NPI assigned

Sep 16, 2005

Last updated

Apr 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehab PT FL LLCGroup PAC ID 7416345921, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehab PT FL LLC

  • Physical Therapist
  • Orlando, FL
  • NPI 1336719624
  Medicare reassignment Care Compare group NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• Charlotte Workers Comp Injury Center Inc

  • Massage Therapist
  • Punta Gorda, FL
  • NPI 1982699807

  Physical Therapist

  NPD (past)
• Olive N Deguzman RPT PA

  • Physical Therapist
  • Port Charlotte, FL
  • NPI 1497706634
  NPD (past)
• Southwest Physical Therapy & Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Port Charlotte, FL
  • NPI 1043279458
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1801881735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25351 TETHER LN",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835917",
            "telephone_number": "941-585-8408",
            "fax_number": "941-625-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21234 OLEAN BLVD STE 5",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526721",
            "telephone_number": "941-625-0555",
            "fax_number": "941-625-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORDECILLAS",
        "first_name": "ROSEVIMINDA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y076E",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jed Dellumes Toboso, PT
• Todd B Lang OD PA (Bayside Eye Centre)
• Toledo Blade Family Dentistry
• Delia G. Toledo, M.D.
• Lawrence Topor, P.T.
• Peggy Ann Torgerson, RD
• Andy Torres Infante
• Sandra Elizabeth Torres
• Yuniesca Torres, M.D.
• Total Renal Care Inc (Port Charlotte Artificial Kidney Center)

• Physical Therapist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.