Organization Active NPI

Orlando Therapy Services LLC

  • Speech-Language Pathologist
  • Kissimmee, FL
National Provider Identifier
1871126722
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ORLANDO THERAPY SERVICES LLC
Practice address
2815 Flamboyan St
Kissimmee, FL 34744-3824
Phone
(407) 559-2017
Fax
(407) 559-2531
NPI assigned
Feb 19, 2020
Last updated
Jan 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Authorized official

Name
Mr. Emmanuel Peguero, M.S., CCC-SLPNPI 1184075897
Title
Director/Owner
Phone
(407) 793-9217

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2815 Flamboyan St
Kissimmee, FL 34744-3824

Mailing address

2815 Flamboyan St
Kissimmee, FL 34744-3824
Phone (407) 793-9217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200317000614 FL Part B Supplier - Clinic/Group Practice 8921436445 Receives reassigned benefits from 1 practitioner
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

1426 Simpson Rd
#126
Kissimmee, FL 34744

Practitioners & affiliated clinicians

Practitioners 1

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": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611360000000",
    "number": "1871126722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 FLAMBOYAN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443824",
            "telephone_number": "407-793-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 FLAMBOYAN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443824",
            "telephone_number": "407-559-2017",
            "fax_number": "407-559-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A",
        "authorized_official_last_name": "PEGUERO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "407-793-9217",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.