Active NPI
Julian Andres Ceron
- Physical Therapist
- Kissimmee, FL
National Provider Identifier
1902426638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42957
- Practice address
- 111 E Monument Ave Unit 410
Kissimmee, FL 34741-5774 - Phone
- (407) 904-5285
- Fax
- (407) 987-5236
- NPI assigned
- Apr 22, 2020
- Last updated
- Mar 17, 2026
- Sex
- Male
- 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 | PT42957 | FL | Primary |
| Physical Therapist | 225100000X | 045750-01 | NY |
Addresses
Primary practice location
111 E Monument Ave Unit 410
Kissimmee, FL 34741-5774
Mailing address
2400 Knightsbridge Blvd
Kissimmee, FL 34744-8453
Phone (908) 986-4169
Other practice location 1
535 Flushing Ave
Brooklyn, NY 11205-1610
Phone (929) 800-2340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 E Monument Ave
Unit 410
Kissimmee, FL 34741-5774
Phone (407) 904-5285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT42957 | FL | MD | Physical Therapist |
| 045750-01 | NY | MD | Physical Therapist |
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.
-
- Rehabilitation Clinic/Center
- Kissimmee, FL
- NPI 1619856929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1902426638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 KNIGHTSBRIDGE BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347448453",
"telephone_number": "908-986-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E MONUMENT AVE UNIT 410",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415774",
"telephone_number": "407-904-5285",
"fax_number": "407-987-5236"
}
],
"practiceLocations": [
{
"address_1": "535 Flushing Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112051610",
"country_code": "US",
"telephone_number": "929-800-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERON",
"first_name": "JULIAN",
"middle_name": "ANDRES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-22",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT42957",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045750-01",
"primary": false
}
],
"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 Mar 17, 2026; 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.