Organization Active NPI

Spinal Health Care of Orlando, P.a.

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1942597075
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8059 Issued in FL
Legal business name
SPINAL HEALTH CARE OF ORLANDO, P.A.
Practice address
1206 N John Young Pkwy
Kissimmee, FL 34741-4206
Phone
(407) 870-8811
Fax
(407) 870-0648
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Dr. Marie Blondine Cayo, D.C.NPI 1821199308
Title
Chiropractic Physician
Phone
(407) 870-8811

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8059 FL Primary

Addresses

Primary practice location

1206 N John Young Pkwy
Kissimmee, FL 34741-4206

Mailing address

PO Box 421846
Kissimmee, FL 34742-1846

Other identifiers 1

IdentifierTypeStateIssuer
382153600MedicaidFL

Other names 1

  • Spinal Health Care of Orlando, P.A. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120619000131 FL Part B Supplier - Clinic/Group Practice 8628232931 Receives reassigned benefits from 1 practitioner
Practice locations: Kissimmee, FL; Orlando, FL

National Provider Directory

National Provider Directory

Locations

1206 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 870-8811

1603 S Hiawassee Rd
Ste 125
Orlando, FL 32835
Phone (407) 347-2604

2295 S Hiawassee Rd
Ste 308
Orlando, FL 32835

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": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1942597075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421846",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347421846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414206",
            "telephone_number": "407-870-8811",
            "fax_number": "407-870-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL HEALTH CARE OF ORLANDO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "CAYO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "BLONDINE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "407-870-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382153600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Health Care of Orlando, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 11, 2011; 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.