Organization Active NPI

Bayside Rehab Clinic

Doing business as Bayside Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
National Provider Identifier
1184125965
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BAYSIDE REHAB CLINIC
Doing business as
Bayside Medical Group
Practice address
7918 W Hillsborough Ave
Tampa, FL 33615-4608
Phone
(813) 374-2444
Fax
(813) 644-7040
NPI assigned
Feb 27, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Robert Leon
Title
General Manager
Phone
(813) 374-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X FL Primary

Addresses

Primary practice location

7918 W Hillsborough Ave
Tampa, FL 33615-4608

Mailing address

PO Box 260246
Tampa, FL 33685-0246

Other practice location 1

3214 W Tampa Bay Blvd
Tampa, FL 33607-6616
Phone (813) 374-2444

Other practice location 2

2901 W Busch Blvd Ste 103
Tampa, FL 33618-4519
Phone (813) 374-2444

Other practice location 3

710 Oakfield Dr Ste 152
Brandon, FL 33511-4954
Phone (813) 374-2444

Other practice location 4

3633 Little Rd Ste 103
Trinity, FL 34655-1815
Phone (727) 853-1800

Other names 1

  • Bayside Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

710 Oakfield Dr
Ste 152
Brandon, FL 33511
Phone (813) 374-2444

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1184125965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260246",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336850246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154608",
            "telephone_number": "813-374-2444",
            "fax_number": "813-644-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3214 W Tampa Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076616",
            "country_code": "US",
            "telephone_number": "813-374-2444",
            "fax_number": "813-644-7040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 W Busch Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336184519",
            "country_code": "US",
            "telephone_number": "813-374-2444",
            "fax_number": "813-644-7040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Oakfield Dr Ste 152",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114954",
            "country_code": "US",
            "telephone_number": "813-374-2444",
            "fax_number": "813-644-7040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3633 Little Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551815",
            "country_code": "US",
            "telephone_number": "727-853-1800",
            "fax_number": "727-853-1807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYSIDE REHAB CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "813-374-2444"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2018; 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.