Individual provider Active NPI

Timothy Guy Jay, DC

  • Chiropractor
  • Brandon, FL
National Provider Identifier
1033278403
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8600 Issued in FL
Practice address
641 W Lumsden Rd
Brandon, FL 33511-5911
Phone
(813) 654-5413
NPI assigned
Dec 8, 2006
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8600 FL Primary

Addresses

Primary practice location

641 W Lumsden Rd
Brandon, FL 33511-5911

Mailing address

7254 Bucks Ford Dr
Riverview, FL 33578-8378
Phone (813) 785-3383

Other practice location 1

13134 Vail Ridge Dr
Riverview, FL 33579-7187
Phone (813) 488-6315

Other identifiers 1

IdentifierTypeStateIssuer
88638OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000161 FL Practitioner - Chiropractic 0749242634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8600FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Wellness Center, LLC CurrentSince Jul 16, 2020 Accepting new patients
Preferred Care Physiotherapy Chiropractic & Weightloss Center CurrentSince May 20, 2024 Accepting new patients

Locations

500 Vonderburg Dr
Ste 105
Brandon, FL 33511
Phone (813) 922-2898

641 W Lumsden Rd
Brandon, FL 33511
Phone (813) 654-5413

13134 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 488-6315

955 E Del Webb Blvd
Ste 101
Sun City Ctr, FL 33573
Phone (813) 633-3332

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1033278403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 BUCKS FORD DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788378",
            "telephone_number": "813-785-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-654-5413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13134 Vail Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335797187",
            "country_code": "US",
            "telephone_number": "813-488-6315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAY",
        "first_name": "TIMOTHY",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88638",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.