Active NPI
International Therapy Center
- Clinic/Center
- Tampa, FL
National Provider Identifier
1053553503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- INTERNATIONAL THERAPY CENTER
- Practice address
- 2700 N Macdill Ave
Ste. 110
Tampa, FL 33607-2284 - Phone
- (813) 374-9936
- Fax
- (813) 374-9937
- NPI assigned
- Mar 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmanuel G Acosta, M.D.
- Title
- Owner
- Phone
- (813) 374-9936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2700 N Macdill Ave
Ste. 110
Tampa, FL 33607-2284
Mailing address
2700 N Macdill Ave
Ste. 110
Tampa, FL 33607-2284
Phone (813) 374-9936
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238371200000",
"number": "1053553503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 N MACDILL AVE",
"address_2": "STE. 110",
"city": "TAMPA",
"state": "FL",
"postal_code": "336072284",
"telephone_number": "813-374-9936",
"fax_number": "813-374-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 N MACDILL AVE",
"address_2": "STE. 110",
"city": "TAMPA",
"state": "FL",
"postal_code": "336072284",
"telephone_number": "813-374-9936",
"fax_number": "813-374-9937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNATIONAL THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-30",
"last_updated": "2009-03-30",
"status": "A",
"authorized_official_last_name": "ACOSTA",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-374-9936",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Internal Medicine Clinic
- Internal Medicine of Tampa Bay
- Internal Medicine of Tampa Inc
- International House of Wisdom, PLLC
- International Rehabilitative Sciences Inc.
- Gabrielle Interrante
- Interventional Radiology Associates of Tampa LLC
- Interventional Radiology Associates of Tampa LLC
- Interventional Radiology Associates of Tampa LLC
- Interventionalpsychiatry of Tampa Bay
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.