NPIMap

Organization Active NPI

Bay Area Neuromuscular Therapy LLC

  • Clinic/Center
  • Clearwater, FL
National Provider Identifier
1154588689
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BAY AREA NEUROMUSCULAR THERAPY LLC
Practice address
1478 Jordan Hills CT
Clearwater, FL 33756-2368
Phone
(727) 461-3896
Fax
(727) 443-4085
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Roger L NealNPI 1437355054
Title
Director
Phone
(727) 461-3896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X K1146 FL
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1478 Jordan Hills CT
Clearwater, FL 33756-2368

Mailing address

1478 Jordan Hills CT
Clearwater, FL 33756-2368
Phone (727) 461-3896

Other names 1

  • Bay Area Neuromuscular Therapy Cent Doing business as

National Provider Directory

National Provider Directory

Locations

1478 Jordan Hills Ct
Clearwater, FL 33756
Phone (727) 461-3896

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1154588689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 JORDAN HILLS CT",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562368",
            "telephone_number": "727-461-3896",
            "fax_number": "727-443-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 JORDAN HILLS CT",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562368",
            "telephone_number": "727-461-3896",
            "fax_number": "727-443-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA NEUROMUSCULAR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-461-3896"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "K1146",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Neuromuscular Therapy Cent",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Area Neuromuscular Therapy Cent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.