Organization Active NPI

Elder Joy LLC

  • Physical Therapy Clinic/Center
  • Tampa, FL
National Provider Identifier
1093545659
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELDER JOY LLC
Practice address
3040 W Cypress St Ste 102
Tampa, FL 33609-1615
Phone
(813) 503-3872
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Armando Largo Banos
Title
Ceo
Phone
(813) 503-3872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3040 W Cypress St Ste 102
Tampa, FL 33609-1615

Mailing address

12431 Cardiff Dr
Tampa, FL 33625-6587

National Provider Directory

National Provider Directory

Locations

3040 W Cypress St
Ste 102
Tampa, FL 33609
Phone (813) 270-6205

Practitioners & affiliated clinicians

Practitioners 1

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": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1093545659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12431 CARDIFF DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336256587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 W CYPRESS ST STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091615",
            "telephone_number": "813-503-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER JOY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "LARGO BANOS",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-503-3872"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 Aug 7, 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.