=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952671588
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STRIDE PHYSICAL THERAPY AND REHABILITATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2012
-----------------------------------------------------
Last Update Date | 04/24/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7932 W SAND LAKE RD SUITE 203
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32819-7263
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-355-9820
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7932 W SAND LAKE RD SUITE 203
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32819-7263
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-355-9820
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. MATTHEW N CONTINO
-----------------------------------------------------
Credential | DPT
-----------------------------------------------------
Telephone | 407-355-9820
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PT26909
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------