Organization Active NPI

Rehabilitation and Fitness Consultants, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Orlando, FL
National Provider Identifier
1922404243
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME120324 Issued in FL
Legal business name
REHABILITATION AND FITNESS CONSULTANTS, PLLC
Practice address
3208 E Colonial Dr Unit 299
Orlando, FL 32803-5127
Phone
(321) 325-7792
Fax
(321) 352-7559
NPI assigned
Nov 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Nicholas E Henderson, MDNPI 1689986721
Title
Owner
Phone
(443) 804-6723

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X ME120324 FL Primary

Addresses

Primary practice location

3208 E Colonial Dr Unit 299
Orlando, FL 32803-5127

Mailing address

3208 E Colonial Dr Unit 299
Orlando, FL 32803-5127
Phone (321) 325-7792

Other practice location 1

708 E Colonial Dr
Suite 101
Orlando, FL 32803-4652
Phone (321) 352-7792

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150106000479 FL Part B Supplier - Clinic/Group Practice 5496078008 Receives reassigned benefits from 1 practitioner
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Locations

708 E Colonial Dr
Ste 101
Orlando, FL 32803
Phone (321) 352-7792

Practitioners & affiliated clinicians

Practitioners 1

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": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1922404243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 E COLONIAL DR UNIT 299",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035127",
            "telephone_number": "321-325-7792",
            "fax_number": "321-352-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 E COLONIAL DR UNIT 299",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035127",
            "telephone_number": "321-325-7792",
            "fax_number": "321-352-7559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 E Colonial Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328034652",
            "country_code": "US",
            "telephone_number": "321-352-7792",
            "fax_number": "321-352-7559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHABILITATION AND FITNESS CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-804-6723",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME120324",
            "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 17, 2018; 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.