Active NPI
DB Moura Inc.
- Physical Therapist
- Longwood, FL
National Provider Identifier
1831514959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- DB MOURA INC.
- Practice address
- 3870 Watercrest Dr
Longwood, FL 32779-2356 - Phone
- (407) 494-0644
- Fax
- (407) 494-0644
- NPI assigned
- Feb 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dustin P Moura
- Title
- Vice President
- Phone
- (407) 494-0644
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | Primary | ||
| Geriatric Physical Therapist | 2251G0304X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
3870 Watercrest Dr
Longwood, FL 32779-2356
Mailing address
3870 Watercrest Dr
Longwood, FL 32779-2356
Phone (407) 494-0644
Other practice location 1
155 Cranes Roost Blvd
Suite 2090
Altamonte Springs, FL 32701-3468
Phone (407) 494-0644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0224186860 | Medicaid | FL |
Other names 1
- Outpatient Homecare Rehab
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1831514959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3870 WATERCREST DR",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327792356",
"telephone_number": "407-494-0644",
"fax_number": "407-494-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3870 WATERCREST DR",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327792356",
"telephone_number": "407-494-0644",
"fax_number": "407-494-0644"
}
],
"practiceLocations": [
{
"address_1": "155 Cranes Roost Blvd",
"address_2": "Suite 2090",
"address_purpose": "LOCATION",
"city": "Altamonte Springs",
"state": "FL",
"postal_code": "327013468",
"country_code": "US",
"telephone_number": "407-494-0644",
"fax_number": "407-494-0644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DB MOURA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MOURA",
"authorized_official_first_name": "DUSTIN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "407-494-0644",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0224186860",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Outpatient Homecare Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.