Organization Active NPI

Margarita Correa LLC

Doing business as Physical Medicine Institute

  • Physical Medicine & Rehabilitation Physician
  • Clermont, FL
National Provider Identifier
1841483393
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME89844 Issued in FL
Legal business name
MARGARITA CORREA LLC
Doing business as
Physical Medicine Institute
Practice address
720 Almond St
Clermont, FL 34711-3124
Phone
(352) 404-6959
Fax
(352) 404-6960
NPI assigned
Aug 18, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Margarita Correa-Perez, MDNPI 1154317238
Title
President
Phone
(352) 404-6959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME89844 FL Primary
Pediatric Rehabilitation Medicine Physician 2081P0010X ME89844 FL

Addresses

Primary practice location

720 Almond St
Clermont, FL 34711-3124

Mailing address

720 Almond St
Clermont, FL 34711-3124
Phone (352) 404-6959

Other practice location 1

1198 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (352) 404-6959

Other practice location 2

621 Wilkinson St
Orlando, FL 32803-1047
Phone (352) 404-6959

Other identifiers 1

IdentifierTypeStateIssuer
002064300MedicaidFL

Other names 1

  • Physical Medicine Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100226000642 FL Part B Supplier - Clinic/Group Practice 4183769326 Receives reassigned benefits from 3 practitioners
Practice locations: Clermont, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2008489Physical Medicine Institute and Rehabilitation720 Almond St, Clermont, FL 34711Certificate of waiverJun 10, 2028

National Provider Directory

National Provider Directory

Locations

720 Almond St
Clermont, FL 34711
Phone (352) 404-6959

1198 Cypress Glen Cir
Kissimmee, FL 34741
Phone (352) 404-6959

621 Wilkinson St
Orlando, FL 32803
Phone (352) 404-6959

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1841483393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ALMOND ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113124",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ALMOND ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113124",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1198 Cypress Glen Cir",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417560",
            "country_code": "US",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Wilkinson St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031047",
            "country_code": "US",
            "telephone_number": "352-404-6959",
            "fax_number": "352-404-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARGARITA CORREA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-18",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CORREA-PEREZ",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-404-6959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME89844",
            "primary": true
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "FL",
            "license": "ME89844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002064300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Medicine Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physical Medicine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.