Physicians Services Physiotherapy & Wellness Center

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

PHYSICIANS SERVICES PHYSIOTHERAPY & WELLNESS CENTER

Practice address

500 Vonderburg Dr Ste 105
Brandon, FL 33511-5968

Phone

(904) 800-8789

NPI assigned

Mar 1, 2024

Last updated

Mar 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin C Benton

Title

Ceo

Phone

(813) 474-4878

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vanessa Nichola Benton, D.C.

  • Chiropractor
  • Brandon, FL
  • NPI 1073844684
  NPD

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1063279479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335680846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 105",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115968",
            "telephone_number": "904-800-8789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 E Del Webb Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736670",
            "country_code": "US",
            "telephone_number": "904-800-8789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIANS SERVICES PHYSIOTHERAPY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-474-4878"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Phillips, M.D.
• Phoenix Programs of Florida, Inc. (Phoenix Houses of Florida)
• Physicians for a Community United for Research and Ecudation LLC (Cyberknife Cancer Center at Brandon Regional Hospital)
• Physicians for a Community United for Research and Education LLC (Tampa Bay Cancer Center)
• Physicians Professional Alliance, LLC
• Physiotherapy Associates
• Physiotherapy Associates Inc (Physiotherapy Associates-Bloomingdale)
• Amber Piazza
• Richard Gordon Picciocca Jr., M.D.
• Kathleen Pici

• Rehabilitation Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.