NPIMap

Organization Active NPI

Tampa Massage Rehab Services

  • Health Maintenance Organization
  • Tampa, FL
National Provider Identifier
1134428089
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MA62393 Issued in FL
Legal business name
TAMPA MASSAGE REHAB SERVICES
Practice address
4523 Dreisler St
Tampa, FL 33634-7317
Phone
(813) 506-4419
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Ms. Ysmaray Diaz, LMT
Title
Massage Therapist
Phone
(813) 374-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MA62393 FL Primary

Addresses

Primary practice location

4523 Dreisler St
Tampa, FL 33634-7317

Mailing address

4523 Dreisler St
Tampa, FL 33634-7317
Phone (813) 506-4419

Other names 1

  • TAMPA MASSAGE REHAB SERVICES Other name

National Provider Directory

National Provider Directory
Tax ID family
Tampa Massage Rehab Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1134428089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 DREISLER ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347317",
            "telephone_number": "813-506-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 DREISLER ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347317",
            "telephone_number": "813-506-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA MASSAGE REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "YSMARAY",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "813-374-9000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "MA62393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAMPA MASSAGE REHAB SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 17, 2011; 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.