Unknown Individual – Physical Therapist, NPI 1801176649

Unknown Individual is a healthcare provider. based in Orlando, Florida. specializing in Physical Therapist. They hold a License No. PT18593 (FL). The NPI Number for Unknown Individual is 1801176649

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1801176649
Phone
(407) 404-1337
Address
2806 YUCCA ST
Deactivation Date
3 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212032998
Graduation Year
1999 (27 years ago)
PAC ID
6002032547
Group Practice PAC ID
5193941631
Professional Enrollment ID
I20140719000063
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2806 YUCCA ST

    ORLANDO, FL 328078645

    Phone: (407) 404-1337

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32807)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193941631View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1801176649; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Orlando, Florida on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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7484 LAKE MARSHA DR
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