Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
AXIOMHEALTH MANAGEMENT LLC
Active
Organization
AXIOMHEALTH MANAGEMENT LLC
Active
Other names
Axiom Rehabilitation, EdemaCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN PATRIC MOURA (REGISTERED AGENT)
(407) 388-8866
Entity
Organization
Contact information
Practice address
1180 SPRING CENTRE SOUTH BLVD STE 225, ALTAMONTE SPRINGS, FL 32714-1991
(407) 494-0644
(407) 494-0644
Mailing address
1180 SPRING CENTRE SOUTH BLVD STE 225, ALTAMONTE SPRINGS, FL 32714-1991
(888) 820-5158
(800) 688-2049
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019968100
—
FL
05
—
128523400
—
FL
Enumeration date
09/22/2016
Last updated
04/14/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up