Organization Active NPI

Premise Health

  • Clinical Exercise Physiologist
  • Kissimmee, FL
National Provider Identifier
1881502532
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Legal business name
PREMISE HEALTH
Practice address
1530 Celebration Blvd
Kissimmee, FL 34747-5164
Phone
(407) 934-4100
NPI assigned
Sep 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
William Lam, EP-C
Title
Exercise Physiologist
Phone
(407) 934-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise PhysiologistGroup: 193200000X MULTI-SPECIALTY GROUP 224Y00000X Primary

Addresses

Primary practice location

1530 Celebration Blvd
Kissimmee, FL 34747-5164

Mailing address

1530 Celebration Blvd
Kissimmee, FL 34747-5164
Phone (407) 934-4100

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1881502532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347475164",
            "telephone_number": "407-934-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347475164",
            "telephone_number": "407-934-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXERCISE PHYSIOLOGIST",
        "authorized_official_telephone_number": "407-934-4100",
        "authorized_official_credential": "EP-C"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Exercise Physiologist",
            "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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.