Active NPI
Physio-Pro, Inc
- Physical Therapy Clinic/Center
- Land O Lakes, FL
National Provider Identifier
1073021622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PHYSIO-PRO, INC
- Practice address
- 22940 Collridge Dr
Land O Lakes, FL 34639-4076 - Phone
- (813) 751-9402
- NPI assigned
- Jan 17, 2018
- 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
- Justin Spiegel, PT
- Title
- President
- Phone
- (813) 751-9402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
22940 Collridge Dr
Land O Lakes, FL 34639-4076
Mailing address
22940 Collridge Dr
Land O Lakes, FL 34639-4076
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516147200000",
"number": "1073021622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22940 COLLRIDGE DR",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346394076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22940 COLLRIDGE DR",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346394076",
"telephone_number": "813-751-9402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIO-PRO, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-17",
"last_updated": "2018-01-17",
"status": "A",
"authorized_official_last_name": "SPIEGEL",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-751-9402",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.