Active NPI
Tag Physical Therapy LLC
- Physical Therapist
- Hudson, FL
National Provider Identifier
1164062949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- TAG PHYSICAL THERAPY LLC
- Practice address
- 13908 Lakeshore Blvd Ste 210
Hudson, FL 34667-1492 - Phone
- (727) 379-2588
- Fax
- (727) 359-0333
- NPI assigned
- Jan 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hsiaoyun Hu
- Title
- Manager
- Phone
- (727) 379-2588
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
13908 Lakeshore Blvd Ste 210
Hudson, FL 34667-1492
Mailing address
13908 Lakeshore Blvd Ste 210
Hudson, FL 34667-1492
Phone (727) 379-2588
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hshu@tagptfl.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hudson, FL
- NPI 1861956468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661817600000",
"number": "1164062949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13908 LAKESHORE BLVD STE 210",
"city": "HUDSON",
"state": "FL",
"postal_code": "346671492",
"telephone_number": "727-379-2588",
"fax_number": "727-359-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13908 LAKESHORE BLVD STE 210",
"city": "HUDSON",
"state": "FL",
"postal_code": "346671492",
"telephone_number": "727-379-2588",
"fax_number": "727-359-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAG PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-09",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A",
"authorized_official_last_name": "HU",
"authorized_official_first_name": "HSIAOYUN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "727-379-2588"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hshu@tagptfl.com",
"affiliation": "N",
"endpointDescription": "Company email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13908 Lakeshore Blvd Ste 210",
"city": "Hudson",
"state": "FL",
"country_code": "US",
"postal_code": "346671492",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.