Pasco Spine and Joint Care LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PASCO SPINE AND JOINT CARE LLC

Practice address

16740 Ivy Lake Dr
Odessa, FL 33556-6020

Phone

(727) 580-0658

Fax

(813) 925-9198

NPI assigned

Apr 20, 2017

Last updated

Apr 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Magnano

Title

Office Manager

Phone

(727) 580-0658

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1184159733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16740 IVY LAKE DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335566020",
            "telephone_number": "727-580-0658",
            "fax_number": "813-925-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16740 IVY LAKE DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335566020",
            "telephone_number": "727-580-0658",
            "fax_number": "813-925-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCO SPINE AND JOINT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "MAGNANO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-580-0658"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS 13047",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.