SST GROUP INC (NPI# 1932153517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932153517 |
| Entity Type | Organization |
| Organization Name | SST GROUP INC |
| Other Organization Name | SPORT SPECIFIC TRAINING AND REHAB |
| Practice Address |
4501 Vineland Rd Suite 103 Orlando FL 32811-7375 |
| Practice Telephone | 4074267066 |
| Practice Fax Number | 4074260556 |
| Mailing Telephone | 4074267066 |
| Mailing Fax Number | 4074260556 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOEL JOHNSON (CEO) |
| Authorized Official Telephone | 4074267066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| SPORT SPECIFIC TRAINING AND REHAB | Doing Business As Name - Organization |
| Street Address |
4501 VINELAND RD SUITE 103 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32811-7375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215476718 | Ability Health Services and Rehabilitation Lp | Durable Medical Equipment & Medical Supplies | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2017-02-16 |
| 1447795307 | Bryan Manarte | Physical Therapist | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2017-01-03 |
| 1225403264 | Richmond Bodie | Specialist/Technologist | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2015-12-02 |
| 1215352612 | Brian Dempsey | Massage Therapist | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2014-02-22 |
| 1487079059 | Barbara Gardner Ferrero | Massage Therapist | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2014-02-19 |
| 1114359684 | Lenni Jo Yarchin | Physical Therapist | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2013-08-06 |
| 1598011975 | Zoila Rivera | Specialist/Technologist | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2012-08-03 |
| 1548558570 | Erika Neugin | Physical Therapist | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2011-07-12 |
| 1447571351 | Jessica Mittag | Specialist/Technologist | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2010-06-15 |
| 1902126386 | Arezoo Khorsandi | Physical Therapist | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2010-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640168 | Carlo Lavern Shaw | Counselor | 6150 Metro West Blvd Suite 103, Orlando, FL 32811 | 2019-10-09 |
| 1639734791 | Malissa Brown | Home Health | 5208 Greenery Ct, Orlando, FL 32811 | 2019-05-04 |
| 1619431665 | Health Care Center for The Homeless Inc | Pharmacy | 4426 Old Winter Garden Rd, Orlando, FL 32811 | 2019-01-24 |
| 1649763178 | Marie Alexandra Senat I | Adult Companion | 640 Grandiflora Drive, Orlando, FL 32811 | 2018-06-09 |
| 1851893309 | Next Level Physiotherapy and Performance | Physical Therapist | 4700 Lb Mcleod Rd, Orlando, FL 32811 | 2018-03-01 |
| 1447798681 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4205 Sw 34th Street, Orlando, FL 32811 | 2017-02-08 |
| 1386054161 | Leondra Foster | Home Health | 4787 King Cole Blvd, Orlando, FL 32811 | 2014-05-02 |
| 1790115681 | Calvin Collins Jr. | Internal Medicine | 4403 Vineland Rd, Suite B5, Orlando, FL 32811 | 2013-11-14 |
| 1043514458 | Legacy V Medical | Durable Medical Equipment & Medical Supplies | 3113 Willie Mays Pkwy, Ste.1100-b, Orlando, FL 32811 | 2010-12-28 |
| 1477871440 | Rm Toussaint Md LLC | Surgery | 4600 S. Kirkman Road, # 218, Orlando, FL 32811 | 2010-05-14 |
| Find all providers in zip 32811 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768049 | Desiree Monique Bethelmie | Massage Therapist | 1608 S Crystal Lake Dr Apt 54, Orlando, FL 32806-3358 | 2020-10-26 |
| 1467051599 | Masae Shimomoto | Massage Therapist | 7422 Radiant Cir, Orlando, FL 32810-3136 | 2020-10-20 |
| 1760080352 | Amanda Lea Gill | Massage Therapist | 3829 Albright Ln, Orlando, FL 32828-6468 | 2020-10-15 |
| 1568060788 | Enoch Leacock | Massage Therapist | 6900 S Orange Blossom Trl Ste 304, Orlando, FL 32809-5736 | 2020-10-09 |
| 1073110466 | Brenden Kuhn | Massage Therapist | 1324 Lake Baldwin Ln Apt B, Orlando, FL 32814-6665 | 2020-10-08 |
| 1013514462 | Sylvia Michelle Burch | Massage Therapist | 1800 Curry Ford Rd, Orlando, FL 32806-2416 | 2020-10-07 |
| 1154928083 | Angelica Inez Jusino | Massage Therapist | 514 Hillcrest St Apt B, Orlando, FL 32803-4505 | 2020-10-05 |
| 1255948097 | Aubrey F Soloven | Massage Therapist | 5635 Marinell Dr, Orlando, FL 32809-4245 | 2020-09-25 |
| 1265049373 | Jessy Kimbrell | Massage Therapist | 5967 Folkstone Ln, Orlando, FL 32822-9420 | 2020-09-23 |
| 1790390516 | Sally E Moon | Massage Therapist | 10216 Kensington Shore Dr, Orlando, FL 32827-7306 | 2020-09-09 |
| Find all providers in ORLANDO | ||||
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| 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.