NPIMap

Organization Active NPI

Aj Therapy Center Inc

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1083040091
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MM31033 Issued in FL
Legal business name
AJ THERAPY CENTER INC
Practice address
4710 Eisenhower Blvd Ste C8
Tampa, FL 33634-6334
Phone
(813) 402-2079
Fax
(813) 443-9942
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Yadenis Jimenez
Title
Administrator
Phone
(813) 765-1511

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Clinic/Center 261Q00000X MM31033 FL Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

4710 Eisenhower Blvd Ste C8
Tampa, FL 33634-6334

Mailing address

6107 Memorial Hwy
Suite G
Tampa, FL 33615-4596
Phone (813) 644-7232

National Provider Directory

National Provider Directory

Locations

6295 Central Ave
Saint Petersburg, FL 33710
Phone (727) 273-9821

4710 Eisenhower Blvd
Ste C8
Tampa, FL 33634
Phone (813) 402-2079

6107 Memorial Hwy
Ste G
Tampa, FL 33615
Phone (813) 981-9139

4148 N Armenia Ave
Ste B
Tampa, FL 33607
Phone (813) 402-2079

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1083040091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 MEMORIAL HWY",
            "address_2": "SUITE G",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154596",
            "telephone_number": "813-644-7232",
            "fax_number": "813-443-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 EISENHOWER BLVD STE C8",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346334",
            "telephone_number": "813-402-2079",
            "fax_number": "813-443-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "YADENIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-765-1511"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM31033",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 6, 2020; 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.