Quality Therapy & Seniors Fitness Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

QUALITY THERAPY & SENIORS FITNESS CENTER LLC

Practice address

3105 Innovation Dr
Saint Cloud, FL 34769-6501

Phone

(407) 498-0539

Fax

(877) 203-2038

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Julius Caesar Orias Licong, PT, CSST,RNNPI 1386797975

Title

PT Director-Owner

Phone

(407) 498-0539

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juliuscaesar Orias Licong, PHYSICAL THERAPIST

  • Physical Therapist
  • St. Cloud, FL
  • NPI 1386797975
  Medicare reassignment NPD Authorized official
• Heraclio F. Castro Jr., MD

  • General Practice Physician
  • Orlando, FL
  • NPI 1255301198

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1831244631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 INNOVATION DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696501",
            "telephone_number": "407-498-0539",
            "fax_number": "877-203-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 INNOVATION DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696501",
            "telephone_number": "407-498-0539",
            "fax_number": "877-203-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY THERAPY & SENIORS FITNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "LICONG",
        "authorized_official_first_name": "JULIUS CAESAR",
        "authorized_official_middle_name": "ORIAS",
        "authorized_official_title_or_position": "PT DIRECTOR-OWNER",
        "authorized_official_telephone_number": "407-498-0539",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, CSST,RN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virtudes Puello
• Ingrid Pujol, ED.S.
• Puravita IV Lounge, LLC
• Siby Thomas Puthenpurayil, RPH
• Quality Direct Care LLC
• Kenya Quiala
• Barbara Jean Quick, ARNP
• Victor D Quinones, PA-C
• Justin Anthony Quintana
• Kamryn Rademacher

• Physical Therapy Clinic/Center in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.