Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nirvana Sports Medicine and Rehabilitation Services, LLC

Organization Physical Therapy Clinic/Center · NPI 1801203674

Nirvana Sports Medicine and Rehabilitation Services, LLC is a Physical Therapy Clinic/Center in Oviedo, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1890 W County Road 419 Ste 1000
Oviedo, FL 32765-4402
Phone: (407) 647-5008
Fax: (407) 374-1683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X (FL)
Physical Therapy Clinic/Center Taxonomy 261QP2000X (FL)

Record details

NPI number1801203674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Becky Mitchell-Vaughn — Corporate Secretary · (407) 647-5008
NPI enumeratedJuly 14, 2014
Last updated in NPPESMay 21, 2015
Mailing address1890 W County Road 419, Suite 1000, Oviedo, FL 32765-4402

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