FOUNTAIN OF YOUTH THERAPIES
NPI 1972287027
Massage Therapist in Orlando, FL

Active since June 09, 2023
1603 S HIAWASSEE RD STE 105, ORLANDO, FL 32835(407) 508-0768 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2024, Apr 12, 2024, Jun 9, 2023 (3 updates tracked since 2023).

About Fountain Of Youth Therapies NPPES

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

FOUNTAIN OF YOUTH THERAPIES (NPI 1972287027) is a healthcare organization registered as a massage therapist in Orlando, Florida and active in the NPI registry since June 2023. The organization lists Sidney L Jimenez, Licensed Medical Massage Therapist, as its authorized official.

NPPES Registry Identity

NPI1972287027
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameJIMENEZ REHABILITATION LLC
Location Address1603 S HIAWASSEE RD STE 105Orlando, FL 32835-6437
Mailing Address1603 S Hiawassee Rd Ste 105Orlando, FL 32835-6437 · (407) 508-0768
Organization SubpartNo
Authorized OfficialSidney L JimenezLicensed Medical Massage Therapist · (407) 508-0768
Enumeration DateJune 9, 2023
Last NPPES UpdateJune 3, 20243 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
NPI 1972287027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
1603 S HIAWASSEE RD STE 105, Orlando, FL 32835

Other Names 1

Doing Business AsFountain Of Youth Therapies

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
1603 S HIAWASSEE RD STE 105
ORLANDO, FL 32835
Physical Therapy Assistant
1603 S HIAWASSEE RD STE 105
ORLANDO, FL 32835
Massage Therapist
1603 S HIAWASSEE RD STE 105
ORLANDO, FL 32835

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 Jimenez Rehabilitation LLC's NPI number?

The NPI number for Jimenez Rehabilitation LLC is 1972287027. It was assigned to this organization in the NPPES registry on June 9, 2023. The provider is doing business as Fountain Of Youth Therapies.

Where is Jimenez Rehabilitation LLC located?

Jimenez Rehabilitation LLC is located at 1603 S Hiawassee Rd Ste 105, Orlando, FL 32835. The listed phone number is (407) 508-0768.

What is Jimenez Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jimenez Rehabilitation LLC was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.