Axiomhealth Management LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

AXIOMHEALTH MANAGEMENT LLC

Doing business as

EdemaCare

Practice address

1180 Spring Centre South Blvd Ste 225
Altamonte Springs, FL 32714-1991

Phone

(407) 494-0644

Fax

(407) 494-0644

NPI assigned

Sep 22, 2016

Last updated

Apr 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dustin Patric Moura

Title

Registered Agent

Phone

(407) 388-8866

Specialties & licenses 9

Addresses

Other identifiers 1

Other names 2

• EdemaCare Doing business as
• Axiom Rehabilitation Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL, CA, AZ, CO, NC, TN, GA8 enrollments

Enrollment records 8

Locations

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randi Cheryl Bonner, PT, CLT-LANA, ALM

  • Physical Therapist
  • Altamonte Springs, FL
  • NPI 1013987338
  Medicare reassignment Care Compare group NPD
• Alexis Giordano, OTR/L

  • Pediatric Occupational Therapist
  • Palm Harbor, FL
  • NPI 1851961437

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Elizabeth Seely, DPT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1821621657

  FL

  Medicare reassignment Care Compare group NPD
• Earl Norbert O. Dimaano, DPT

  • Geriatric Physical Therapist
  • Jacksonville, FL
  • NPI 1063008357

  Geriatrics

  Medicare reassignment NPD
• Samantha Risa Faliks, P.T.

  • Physical Therapist
  • Altamonte Springs, FL
  • NPI 1952380321
  Medicare reassignment NPD
• David Harbour, DO

  • Emergency Medicine Physician
  • Rockledge, FL
  • NPI 1851394217

  GA

  Medicare reassignment NPD
• Jerlyn Leoncio

  • Geriatric Physical Therapist
  • Orange Park, FL
  • NPI 1811877723

  Single Specialty

  Medicare reassignment NPD
• Ariel A Maboudi, PT, DPT

  • Physical Therapist
  • Parrish, FL
  • NPI 1730898560
  Medicare reassignment NPD
• Stephanie Masse, DPT

  • Physical Therapist
  • Altamonte Springs, FL
  • NPI 1831858695

  Multi-Specialty

  Medicare reassignment NPD
• Abiola Balogun, PT

  • Physical Therapist
  • Plano, TX
  • NPI 1609120724

  FL

  Medicare reassignment NPD
• Kelsey Johnson

  • Physical Therapist
  • North Las Vegas, NV
  • NPI 1457887598

  TN

  Medicare reassignment NPD
• Emily Louise Murphy, MSOT

  • Occupational Therapist
  • Leland, NC
  • NPI 1558849554
  Medicare reassignment NPD

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1912456799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SPRING CENTRE SOUTH BLVD STE 225",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141991",
            "telephone_number": "888-820-5158",
            "fax_number": "800-688-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SPRING CENTRE SOUTH BLVD STE 225",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141991",
            "telephone_number": "407-494-0644",
            "fax_number": "407-494-0644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902A Lincoln Blvd # 108",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904051315",
            "country_code": "US",
            "telephone_number": "888-205-1585",
            "fax_number": "800-688-2049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 Spring Centre South Blvd Ste 355",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327141999",
            "country_code": "US",
            "telephone_number": "407-495-1165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 S Prescott St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381114435",
            "country_code": "US",
            "telephone_number": "888-205-1585",
            "fax_number": "800-688-2049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W Peachtree St NW Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303093453",
            "country_code": "US",
            "telephone_number": "407-495-1165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Main St Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770026353",
            "country_code": "US",
            "telephone_number": "407-495-1165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 W 4th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282021545",
            "country_code": "US",
            "telephone_number": "407-495-1165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11292 W Burning Sage St",
            "address_purpose": "LOCATION",
            "city": "Marana",
            "state": "AZ",
            "postal_code": "856538139",
            "country_code": "US",
            "telephone_number": "888-205-1585",
            "fax_number": "800-688-2049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1808 Olive Pine Way",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284514206",
            "country_code": "US",
            "telephone_number": "888-205-1585",
            "fax_number": "800-688-2049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AXIOMHEALTH MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "MOURA",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "PATRIC",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "407-388-8866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128523400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EdemaCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Axiom Rehabilitation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Axiom Rehabilitation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Patricia C Avalos, MS
• Ariel Aviles
• Awprx, LLC
• Axelta Tech LLC
• Axiom Rehabilitation
• Viviana Maria Ayala, APRN
• Alexander R Ayon
• Monica June Bach, PA-C
• Lauren Bacon, PA-C
• Marina Kaoli Repp Badzinski, PHARM.D.

• Rehabilitation Clinic/Center in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.