AXIOMHEALTH MANAGEMENT LLC NPI 1912456799

NPI Information

NPI: 1912456799
Provider Name: AXIOMHEALTH MANAGEMENT LLC

Former Legal Business Name: AXIOM REHABILITATION

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1180 SPRING CENTRE SOUTH BLVD STE 225
ALTAMONTE SPRINGS, FL
ZIP 32714
Phone: (407) 494-0644
Get Directions

AXIOMHEALTH MANAGEMENT LLC is a rehabilitation clinic center in Altamonte Springs, FL. AXIOMHEALTH MANAGEMENT LLC NPI is 1912456799. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Axiom Rehabilitation.

The provider's business location address is:

1180 SPRING CENTRE SOUTH BLVD STE 225
ALTAMONTE SPRINGS, FL
ZIP 32714-991
Phone: (407) 494-0644
Fax: (407) 494-0644

The provider's authorized official is Dustin Patric Moura .
The authorized official title is Registered Agent and has the following contact phone number (407) 312-4613.

The enumeration date for this NPI number is 9/22/2016 and was last updated on 3/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	103K00000X	Behavior Analyst			No
2	2086S0129X	Surgery	Vascular Surgery		No
3	213E00000X	Podiatrist			No
4	224Z00000X	Occupational Therapy Assistant			No
5	225100000X	Physical Therapist			No
6	2251G0304X	Physical Therapist	Geriatrics		No
7	2251P0200X	Physical Therapist	Pediatrics		No
8	225200000X	Physical Therapy Assistant			No
9	225X00000X	Occupational Therapist			No
10	225X00000X	Occupational Therapist		FLORIDA	No
11	261QR0400X	Clinic/Center	Rehabilitation		Yes
12	235Z00000X	Speech-Language Pathologist			No
13	252Y00000X	Early Intervention Provider Agency			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019968100	MEDICAID	FLORIDA
2	045208	OTHER	FLORIDA	UNITED HEALTHCARE (OPTUM)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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