Active NPI
Ajc Software Inc
Doing business as JR Orthotics
- Prosthetic/Orthotic Supplier
- Winter Garden, FL
National Provider Identifier
1962964809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- AJC SOFTWARE INC
- Doing business as
- JR Orthotics
- Practice address
- 1261 Winter Garden Vineland Rd Ste 120
Winter Garden, FL 34787-4362 - Phone
- (407) 665-2522
- Fax
- (407) 664-2522
- NPI assigned
- Apr 1, 2019
- Last updated
- Feb 5, 2024
- Organization subpart
- Yes
- Parent organization
- AJC SOFTWARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rochelle Amanda Collazo
- Title
- Owner
- Phone
- (407) 353-4144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1261 Winter Garden Vineland Rd Ste 120
Winter Garden, FL 34787-4362
Mailing address
7512 Dr. Phillips Boulevard #50-244
Orlando, FL 32819
Phone (787) 317-4702
Other names 1
- JR Orthotics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190613000641 | FL | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 9638376320 | Practice locations: Winter Garden, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Jr Orthotics | Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Negative Pressure Wound Therapy Pumps/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Ostomy Supplies|Limb Prostheses|S… | Does not accept assignment |
National Provider Directory
National Provider Directory- Part of
- Ajc Software Inc
Locations
7512 Dr Phillips Blvd
Ste 50-244
Orlando, FL 32819
1261 Winter Garden Vineland Rd
Ste 120
Winter Garden, FL 34787
Phone (407) 664-2522
30 Calle Padial
Ste 120
Caguas, PR 00725
Phone (787) 478-6319
143 El Tuque Industrial Park
Ponce, PR 00728
Phone (787) 492-0020
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707091200000",
"number": "1962964809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7512 DR. PHILLIPS BOULEVARD #50-244",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32819",
"telephone_number": "787-317-4702",
"fax_number": "407-395-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 WINTER GARDEN VINELAND RD STE 120",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347874362",
"telephone_number": "407-665-2522",
"fax_number": "407-664-2522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJC SOFTWARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AJC SOFTWARE INC",
"enumeration_date": "2019-04-01",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A",
"authorized_official_last_name": "COLLAZO",
"authorized_official_first_name": "ROCHELLE",
"authorized_official_middle_name": "AMANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-353-4144"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JR Orthotics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "JR Orthotics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.