Ssl Pt LLC
Clinic/Center, Physical Therapy in Kissimmee, FL. Organization (NPI-2).
NPI number1114708641
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1114708641
- Entity type
- Organization (NPI-2)
- Legal business name
- Ssl Pt LLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2023
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
1701 Fern CtKissimmee, FL 34746-3083
Phone 689-252-5062
Mailing address
1701 Fern CtKissimmee, FL 34746-3083
Phone 689-252-5062
Authorized official
Salvador Lara
Sole Member
6892525062
Is something wrong?
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