Mary Jane Hortillo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 12484 Issued in FL

Practice address

233 Goldenrain Dr
Apt 3104
Kissimmee, FL 34747-5089

Phone

(407) 461-3188

NPI assigned

Jan 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1336535988
  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1922498831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 GOLDENRAIN DR",
            "address_2": "APT 3104",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347475089",
            "telephone_number": "407-461-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 GOLDENRAIN DR",
            "address_2": "APT 3104",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347475089",
            "telephone_number": "407-461-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTILLO",
        "first_name": "MARY JANE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 12484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Rehabilitation Care Inc.
• Hopestone Therapeutic Services LLC
• Ardell Hopkins
• Mohammad Anwarul Hoque, MD
• Horizon on Granada, LLC
• Amanda Hosier
• Meray Hosni, MD
• Hospital Medicine Services of FL, LLC
• Nima Mohamadali Hosseinian, MD
• Chad Houchin

• Physical Therapist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.