Orlando Movement Practice LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ORLANDO MOVEMENT PRACTICE LLC

Practice address

125 W Fairbanks Ave
Winter Park, FL 32789-4326

Phone

(407) 900-8721

NPI assigned

Oct 27, 2018

Organization subpart

No

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

Authorized official

Name

Brandon Keilman, DPT

Title

Owner, Physical Therapist

Phone

(407) 312-4801

Specialties & licenses 1

Addresses

Other names 1

• Brandon Keilman PT DPT LLC Former legal business name

Locations

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

{
    "created_epoch": "1540598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540598400000",
    "number": "1972070969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536388",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328536388",
            "telephone_number": "407-900-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894326",
            "telephone_number": "407-900-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO MOVEMENT PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-27",
        "last_updated": "2018-10-27",
        "status": "A",
        "authorized_official_last_name": "KEILMAN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "407-312-4801",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Keilman PT DPT LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Therapy Clinic/Center in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.