Organization Active NPI

International Therapy Center

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1053553503
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Mar 30, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.