Organization Active NPI

Rehab One, Inc

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1053387068
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
MM11002 Issued in FL
Legal business name
REHAB ONE, INC
Practice address
11809 N Dale Mabry Hwy
Tampa, FL 33618-3505
Phone
(813) 265-2221
Fax
(813) 908-3431
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Mr. Craig Gordon
Title
Director
Phone
(813) 265-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X MM11002 FL Primary

Addresses

Primary practice location

11809 N Dale Mabry Hwy
Tampa, FL 33618-3505

Mailing address

11809 N Dale Mabry Hwy
Tampa, FL 33618-3505
Phone (813) 265-2221

Other identifiers 1

IdentifierTypeStateIssuer
R8ROtherFLBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1053387068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183505",
            "telephone_number": "813-265-2221",
            "fax_number": "813-908-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183505",
            "telephone_number": "813-265-2221",
            "fax_number": "813-908-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ONE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-265-2221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "MM11002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R8R",
            "state": "FL"
        }
    ],
    "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 Oct 10, 2007; 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.