Organization Active NPI

Therapy Center of Tampa LLC

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1043671852
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THERAPY CENTER OF TAMPA LLC
Practice address
3434 W Columbus Dr
Suite 106
Tampa, FL 33607-1860
Phone
(813) 252-8446
Fax
(813) 252-8453
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Ivette Ulloa
Title
Owner
Phone
81332528446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3434 W Columbus Dr
Suite 106
Tampa, FL 33607-1860

Mailing address

3434 W Columbus Dr
Suite 106
Tampa, FL 33607-1860
Phone (813) 252-8446

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1043671852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 W COLUMBUS DR",
            "address_2": "SUITE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071860",
            "telephone_number": "813-252-8446",
            "fax_number": "813-252-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W COLUMBUS DR",
            "address_2": "SUITE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071860",
            "telephone_number": "813-252-8446",
            "fax_number": "813-252-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CENTER OF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "ULLOA",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "81332528446"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.