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Active NPI 1578972436 Individual Practitioner Male Practitioner

Andre S Ishmael , PT

Physical Therapist - Orthopedic • Ocoee, FL

Professional Overview & Biography Verified Profile Summary

Andre Ishmael, PT is a registered healthcare professional specializing in Physical Therapist - Orthopedic in Ocoee, FL. Practice services are available at 1555 BOREN DR under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, evaluation of physical therapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1555 Boren Dr

Ocoee, FL 347612989

Telephone 4072922156
Fax 4072412868
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist - Orthopedic in Ocoee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Ocoee, FL (710 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
612 28 $160.00 $23.70
97140 Therapy procedure using manual technique, each 15 minutes
403 26 $147.00 $20.33
97161 Evaluation of physical therapy, typically 20 minutes
29 25 $537.00 $96.81

Medical Specialties & State Licenses

CMS Verified: 2022-05-15
Physical Therapist - Orthopedic Primary Specialty

NUCC Taxonomy Code: 2251X0800X

State License FL PT29544

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1033213749

Doctor of Medicine (M.D.)

Leonard Burr , PTA

Physical Therapy Assistant

NPI 1225296197

Physical Therapist Assistant

Stacey Wong , PTA

Physical Therapy Assistant

NPI 1245498179

Physical Therapist Assistant

Dr. Jay Wright , MD

Pain Medicine - Pain Medicine

NPI 1265537476

Doctor of Medicine (M.D.)

Mary Cameron , PA-C

Physician Assistant

NPI 1407987886

Physician Assistant (Certified)

Keith Pacific

Physical Therapist

NPI 1427223353

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2014

Registered at 1555 BOREN DR, OCOEE, FL 347612989 (Tel: 4072922156)

📍
Updated Business Mailing Address August 13, 2014

Registered at 13036 WATERFORD WOOD CIR APT 104, ORLANDO, FL 328286053 (Tel: 4072922156)

👤
Provider Name / Credentials Updated August 13, 2014

Recorded as ANDRE ISHMAEL, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2014

Physical Therapist (License #PT29544 in FL)

🟢
Initial NPI Registration & Enumeration August 05, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578972436
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2014
Last Update: May 15, 2022
Sole Proprietor: No

Mailing Address

13036 Waterford Wood Cir Apt 104

Orlando, FL 328286053

Phone: 4072922156

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.