OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC - NPI 1740804566

Q: What is Ourhealth Professional Physician Group, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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About Ourhealth Professional Physician Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC (NPI 1740804566) is a healthcare organization registered as a nurse practitioner in Orlando, Florida and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Terry Layman, President, as its authorized official.

NPPES Registry Identity

NPI1740804566

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameOURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC

Location Address501 W CHURCH STOrlando, FL 32805-2247

Mailing AddressPo Box 1433Portsmouth, NH 03802-1433

Phone(689) 210-0525

Organization SubpartYes

Authorized OfficialTerry LaymanPresident · (317) 522-0844

Enumeration DateJune 8, 2020

Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1740804566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

501 W CHURCH ST, Orlando, FL 32805

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Other Names 1

Other NameTravel Leisure @ 501 W. Church

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2190398

Ourhealth Professional Physician Group LLC · Orlando, FL

Active · expires Aug 12, 2026

CLIA Number10D2190398

Laboratory TypePhysician Office

Certificate Effective DateAugust 13, 2024

Certificate Expiration DateAugust 12, 2026

Laboratory DirectorJustine Kuroda

Laboratory Phone(689) 210-0525

Laboratory LocationOurhealth Professional Physician Group LLC501 W Church Street, Orlando, FL 32805

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ourhealth Professional Physician Group, LLC's NPI number?

The NPI number for Ourhealth Professional Physician Group, LLC is 1740804566. It was assigned to this organization in the NPPES registry on June 8, 2020. The provider is also known as Travel Leisure @ 501 W. Church.

Where is Ourhealth Professional Physician Group, LLC located?

Ourhealth Professional Physician Group, LLC is located at 501 W Church St, Orlando, FL 32805. The listed phone number is (689) 210-0525.

What is Ourhealth Professional Physician Group, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Ourhealth Professional Physician Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2190398) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ourhealth Professional Physician Group, LLC was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.