Tampa Recovery Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TAMPA RECOVERY CENTER

Practice address

3251 W Hillsborough Ave Ste a
Tampa, FL 33614-5928

Phone

(813) 551-1009

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Karine Kianza Scott

Title

Owner/GM

Phone

(813) 403-7443

Specialties & licenses 1

Addresses

Other names 2

• Rebuild Doing business as
• Rebuild High Performance Recovery Center Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1114678356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 EPIC CV",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386897",
            "telephone_number": "813-403-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 W HILLSBOROUGH AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145928",
            "telephone_number": "813-551-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "KIANZA SCOTT",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "OWNER/GM",
        "authorized_official_telephone_number": "813-403-7443"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yes",
            "affiliation": "N",
            "endpointDescription": "secure router",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "3251 W Hillsborough Ave Ste A",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336145928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rebuild",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rebuild High Performance Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tampa Pharmacy 13 LLC
• Tampa Pharmacy 13 LLC
• Tampa Pharmacy 13 LLC
• Tampa Premier Medical Group LLC
• Tampa Pulmonary and Sleep Specialist MDS LLP Gen PTR
• Tampa Recovery, LLC
• Tampa Regional Hospitalist Group
• Tampa Regional Hospitalist GRP
• Tampa Rehab & Chiropractic, LLC
• Tampa Rehab & Chiropractic, LLC

• Physical Therapy Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.