Organization Active NPI

MD Diagnostic Specialist, Inc

  • Rehabilitation Practitioner
  • Maitland, FL
National Provider Identifier
1922017490
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
ME90201 Issued in FL
Legal business name
MD DIAGNOSTIC SPECIALIST, INC
Practice address
668 N Orlando Ave
Suite 1010
Maitland, FL 32751-4473
Phone
(407) 740-8848
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Barbara Tatton
Title
Ar Manager
Phone
(407) 740-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X ME90201 FL Primary

Addresses

Primary practice location

668 N Orlando Ave
Suite 1010
Maitland, FL 32751-4473

Mailing address

668 N Orlando Ave Ste 1010
Maitland, FL 32751-4460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070111000438 FL Part B Supplier - Clinic/Group Practice 6204836463 Receives reassigned benefits from 3 practitioners
Practice locations: Maitland, FL

National Provider Directory

National Provider Directory

Locations

668 N Orlando Ave
Ste 1010
Maitland, FL 32751
Phone (407) 278-2424

2014 S Orange Ave
Orlando, FL 32806
Phone (321) 423-4761

14115 Town Loop Blvd
Orlando, FL 32837
Phone (407) 740-8848

801 N Orange Ave
Ste 535
Orlando, FL 32801

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1922017490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N ORLANDO AVE STE 1010",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N ORLANDO AVE",
            "address_2": "SUITE 1010",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514473",
            "telephone_number": "407-740-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD DIAGNOSTIC SPECIALIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "TATTON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "407-740-8848"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "FL",
            "license": "ME90201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.