Active NPI
Noreen Sidhom, PT DPT
- Physical Therapist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36276
- Practice address
- 2868 S Alafaya TRL Ste 100
Orlando, FL 32828-7974 - Phone
- (407) 214-0100
- Fax
- (908) 436-1084
- NPI assigned
- Sep 24, 2018
- Last updated
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA1823000 | NJ | |
| Physical Therapist | 225100000X | PT36276 | FL | Primary |
Addresses
Primary practice location
2868 S Alafaya TRL Ste 100
Orlando, FL 32828-7974
Mailing address
1122 Augustus Dr
Davenport, FL 33896-8630
Phone (732) 713-7403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2868 S Alafaya TRL
Suite 100
Orlando, FL 32828-7974
Phone (407) 214-0100
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.25 of 100
- Quality
- 94.96
- Improvement activities
- 40
- Cost
- 47.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36276 | FL | MD | Physical Therapist |
| 40QA1823000 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Ventures Management Company, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2868 S Alafaya Trl
Ste 100
Orlando, FL 32828
Phone (407) 214-0100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FYZICAL Therapy & Balance Center
- Physical Therapy Clinic/Center
- Orlando, FL
- NPI 1003678426
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1891279071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 AUGUSTUS DR",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338968630",
"telephone_number": "732-713-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2868 S ALAFAYA TRL STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287974",
"telephone_number": "407-214-0100",
"fax_number": "908-436-1084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHOM",
"first_name": "NOREEN",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-24",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA1823000",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.