AXIOM REHABILITATION LLC (NPI# 1912456799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912456799 |
| Entity Type | Organization |
| Organization Name | AXIOM REHABILITATION LLC |
| Practice Address |
498 Palm Springs Dr Ste 345 Altamonte Springs FL 32701-7806 |
| Mailing Address |
498 Palm Springs Dr. Ste 345 Altamonte Springs FL 32701-3468 |
| Practice Telephone | 4074940644 |
| Practice Fax Number | 4074940644 |
| Mailing Telephone | (407) 494-0644 |
| Mailing Fax Number | 4074940644 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. DUSTIN PATRIC MOURA (REGISTERED AGENT) |
| Authorized Official Telephone | 4073888866 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UNITED HEALTHCARE (OPTUM) | 045208 | 01 |
| FL | 019968100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 155 Cranes Roost Blvd, Suite 2090, Altamonte Springs, FL 327013468 | 4074940644 | 4074940644 |
| Street Address |
498 PALM SPRINGS DR STE 345 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32701-7806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023144862 | Lourdes Paez | Occupational Therapist | 498 Palm Springs Dr Ste 345, Altamonte Springs, FL 32701-7806 | 2007-02-26 |
| 1629691720 | Chelsey Joi Cashem | Occupational Therapist | 498 Palm Springs Dr Ste 345, Altamonte Springs, FL 32701-7806 | 2020-05-22 |
| 1952951857 | Dustin Moura | Physical Therapy Assistant | 498 Palm Springs Dr Ste 345, Altamonte Springs, FL 32701-7806 | 2019-09-13 |
| 1710465679 | Wound Care Pros LLC | Home Health | 498 Palm Springs Dr Ste 345, Altamonte Springs, FL 32701-7806 | 2018-08-02 |
| 1124532080 | Frank Thompson | Physical Therapy Assistant | 498 Palm Springs Dr Ste 345, Altamonte Springs, FL 32701-7806 | 2017-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499102 | Mks Care Services LLC | Clinic/Center | 270 Mira Way, Apt. 207, Altamonte Springs, FL 32701 | 2020-05-19 |
| 1598307993 | Integumentary Physiotherapy Institute, LLC | Physical Therapist | 616 E Altamonte Dr Ste 203, Altamonte Springs, FL 32701 | 2019-10-17 |
| 1922569508 | Adventist Health System- Sunbelt Inc Adventhealth Orlando | Pharmacy | 661 E Altamonte Drive Ste 116, Altamonte Springs, FL 32701 | 2019-03-27 |
| 1720524812 | Paula Paton | Nurse Practitioner | 249 Maitland Avenue, Suite 1000, Altamonte Springs, FL 32701 | 2017-01-12 |
| 1639521800 | Mohamed Samy Elwany | Audiologist | 600 E Altamonte Drive, Suite 1700, Altamonte Springs, FL 32701 | 2016-07-12 |
| 1780061267 | Rogers Massage Therapy Clinic | Point of Service | 1061 East Altamonte Dr, Suite 1019, Altamonte Springs, FL 32701 | 2015-05-04 |
| 1598160145 | New Smile Dentistry of Altamonte Springs, Pa | Dentist | 512 E Altamonte Drive, Altamonte Springs, FL 32701 | 2014-10-24 |
| 1083035802 | Amanda Hirsch | Nurse Practitioner | 150 Cranes Roost Blvd, Suite 1220, Altamonte Springs, FL 32701 | 2013-12-20 |
| 1952731143 | Don M. Preble | Dentist | 499 E. Central Parkway Ste 220, Altamonte Springs, FL 32701 | 2013-11-25 |
| 1366883548 | Jose Rafael Navarro | Dentist | 305 East Altamonte Drive, Suite 1020, Altamonte Springs, FL 32701 | 2013-07-16 |
| Find all providers in zip 32701 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1952918369 | Bayit Therapy LLC | Clinic/Center | 4699 N Federal Hwy Ste 101g, Pompano Beach, FL 33064-6510 | 2020-09-29 |
| 1205440815 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3511 Vanderbilt Beach Rd, Naples, FL 34109-1342 | 2020-09-01 |
| 1275147043 | Sensei Medical Center Inc | Clinic/Center | 6500 W 4th Ave Ste 31, Hialeah, FL 33012-6606 | 2020-08-31 |
| 1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
| 1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
| 1649806787 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 111 N County Highway 393 Ste 201, Santa Rosa Beach, FL 32459-5366 | 2020-03-20 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32701 |
Please comment or provide details below to improve the information on AXIOM REHABILITATION LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.