Provider Demographics
NPI:1437861598
Name:ORTHOPEDIC REHABILITATION CENTER
Entity Type:Organization
Organization Name:ORTHOPEDIC REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHALIE
Authorized Official - Middle Name:JASMIN
Authorized Official - Last Name:STARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT DPT OCS
Authorized Official - Phone:239-595-4813
Mailing Address - Street 1:558 W NEW ENGLAND AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4256
Mailing Address - Country:US
Mailing Address - Phone:239-595-4813
Mailing Address - Fax:
Practice Address - Street 1:558 W NEW ENGLAND AVE STE 120
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4256
Practice Address - Country:US
Practice Address - Phone:239-595-4813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy