Individual provider Active NPI

Michelle Lee Hubbard, PT

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1164060174
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23981 Issued in FL
Practice address
7101 MLK Jr St N
St Petersburg, FL 33702-5819
Phone
(727) 527-7231
NPI assigned
Dec 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23981 FL Primary

Addresses

Primary practice location

7101 MLK Jr St N
St Petersburg, FL 33702-5819

Mailing address

3617 E Renellie Cir
Tampa, FL 33629-8345
Phone (813) 503-5620

Other names 1

  • Michelle Lee Kurbiel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210524000905 FL Practitioner - Physical Therapist in Private Practice 1254730310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Potentia Therapeutics, LLCGroup PAC ID 6103181888, 17 clinicians

Practice addresses (Care Compare)

2307 S Dale Mabry Hwy
Suite F
Tampa, FL 33629-6322
Phone (813) 374-9508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Potentia Therapeutics, LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Baylife Physical Therapy & Rehabilitation Inc Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Creative Health Care Management, LLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Burke Collins Therapy, Inc Past Accepting new patients
Baylife Physical Therapy & Rehabilitation, Inc. PastSince Mar 1, 2022 Accepting new patients

Locations

10201 Arcos Ave
Ste 204
Estero, FL 33928
Phone (724) 223-2061

5762 SW 60th Ave
Ocala, FL 34474
Phone (352) 237-4544

765 W Grant St
Plant City, FL 33563
Phone (813) 743-3701

8950 Dr Ml King Jr St N
Ste 101
St Petersburg, FL 33702
Phone (727) 520-0800

2307 S Dale Mabry Hwy
Ste F
Tampa, FL 33629
Phone (415) 533-4863

115 E Davis Blvd
Tampa, FL 33606
Phone (813) 254-8399

10 S 9th St
Ste 4
Noblesville, IN 46060

470 Johnson Rd
Ste 100
Washington, PA 15301

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1164060174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 E RENELLIE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298345",
            "telephone_number": "813-503-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 MLK JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025819",
            "telephone_number": "727-527-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KURBIEL",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.