Akl Active Inc

Organization Active NPI Pediatric Occupational Therapist · Longwood, FL

NPI 1902394612 · NPPES record last updated Sep 12, 2025

Key facts

NPI
1902394612
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OT14170 (FL)
Legal business name
AKL ACTIVE INC
Practice address
1712 N Ronald Reagan Blvd
Longwood, FL 32750-3409
Phone
(407) 272-8813
Fax
(866) 802-2363
NPI assigned
Apr 27, 2018
Organization subpart
Yes
Parent organization (as reported)
AKL ACTIVE, INC

Authorized official

Name
Alejandro Toro, OTR NPI 1386952356
Title
Owner
Phone
(305) 290-0622

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
Akl Active Inc

Locations

1712 N Ronald Reagan Blvd
Longwood, FL 32750
Phone (407) 272-8813

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
2251P0200X
Pediatric Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225XP0200X OT14170 FL Yes
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X FL
Clinic/Center 261Q00000X FL

Addresses

Primary practice location

1712 N Ronald Reagan Blvd
Longwood, FL 32750-3409

Mailing address

1712 N Ronald Reagan Blvd
Longwood, FL 32750-3409
Phone (407) 272-8813

Other identifiers

IdentifierTypeStateIssuer
024986300MedicaidFL
009550500MedicaidFL

Other names

  • AKL Active, Inc Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 12, 2025.

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1902394612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 N RONALD REAGAN BLVD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327503409",
            "telephone_number": "407-272-8813",
            "fax_number": "866-802-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 N RONALD REAGAN BLVD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327503409",
            "telephone_number": "407-272-8813",
            "fax_number": "866-802-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKL ACTIVE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AKL ACTIVE, INC",
        "enumeration_date": "2018-04-27",
        "last_updated": "2025-09-12",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "TORO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-290-0622",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT14170",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024986300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009550500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AKL Active, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "AKL Active, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Longwood, FL

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Sources for this page

Verify at the official NPI Registry.