Provider Demographics
| NPI: | 1053129437 |
|---|---|
| Name: | CARDIOPULMONARY TRAINING CENTER |
| Entity type: | Organization |
| Organization Name: | CARDIOPULMONARY TRAINING CENTER |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MANAGER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | CHERYNA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | HAMILTON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | RRT |
| Authorized Official - Phone: | 321-947-5106 |
| Mailing Address - Street 1: | 771 S KIRKMAN RD STE 110 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ORLANDO |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 32811-2039 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 321-947-5106 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 771 S KIRKMAN RD STE 110 |
| Practice Address - Street 2: | |
| Practice Address - City: | ORLANDO |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 32811-2039 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 321-947-5106 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-12-18 |
| Last Update Date: | 2024-12-19 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2279P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Rehabilitation | Group - Multi-Specialty |
| No | 2278H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Home Health | Group - Multi-Specialty |
| No | 2279C0205X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Critical Care | Group - Multi-Specialty |
| No | 2279G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | General Care | Group - Multi-Specialty |
| No | 2279P1004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Diagnostics | Group - Multi-Specialty |
| No | 2279P1006X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Function Technologist | Group - Multi-Specialty |
| No | 2279P4000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Patient Transport | Group - Multi-Specialty |