Daren Karl Olalde Tiburcio, PT, DPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

PT37815 Issued in FL

Practice address

3140 Waterman Way
Tavares, FL 32778-5252

Phone

(352) 253-3892

Fax

(352) 258-3809

NPI assigned

Oct 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1851053144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PERKINS ST APT 6",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484952",
            "telephone_number": "352-895-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785252",
            "telephone_number": "352-253-3892",
            "fax_number": "352-258-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBURCIO",
        "first_name": "DAREN KARL",
        "middle_name": "OLALDE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT37815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khannia Erif Thomas, MD
• Spencer Michael Thomas
• Valerie B Thomas, MD
• Sherry Thornton, LCSW
• Thriving Outlook for Prospering Seniors Inc
• Otilio D Toledo Jr., APRN
• Cyndee Torgler-Bandy
• Feras Toumeh, M.D.
• Kim Phung Tran-Bardell
• Dan Nicolas Tran, MD

• Neurology Physical Therapist in Tavares, FL
• Providers in Tavares, FL by specialty
• Neurology Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.