Prestige Massage & Rehab Center, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MA47012 Issued in FL

Legal business name

PRESTIGE MASSAGE & REHAB CENTER, LLC

Practice address

2614 E Colonial Dr
Suite 400-5
Orlando, FL 32803-5028

Phone

(407) 579-1045

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Serafin M Menencia, MT

Title

MGR

Phone

(407) 579-1045

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1891072096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 E COLONIAL DR",
            "address_2": "SUITE 400-5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035028",
            "telephone_number": "407-579-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E COLONIAL DR",
            "address_2": "SUITE 400-5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035028",
            "telephone_number": "407-579-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MASSAGE & REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "MENENCIA",
        "authorized_official_first_name": "SERAFIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "407-579-1045",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA47012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylin Prestage, MD
• Adreanna Prestenbach
• Prestige Artistic Therapy Group Inc
• Prestige Care Assisted Living, LLC
• Prestige Home Health Agency LL
• Prestige Medi Services & Rehab
• Prestige Medic Services & Rehab Center LLC
• Prestige Medical Serv & Reh Cent
• Prestige Medical Services
• Prestige Medical Services & Rehab Center LLC

• Physical Therapy Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.