Active NPI
Caseem Michaels, CASEEM MICHAELS
- Physical Medicine & Rehabilitation Physician
- Tampa, FL
National Provider Identifier
1184932964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1188JTC
- Practice address
- 2123 W Dr Luther King Dr Blvd
#103
Tampa, FL 33607 - Phone
- (813) 873-1361
- NPI assigned
- Sep 15, 2010
- Last updated
- Jul 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1188JTC | FL | Primary |
| Massage Therapist | 225700000X | FL |
Addresses
Primary practice location
2123 W Dr Luther King Dr Blvd
#103
Tampa, FL 33607
Mailing address
2123 W Dr Martin Luther King Dr Blvd
103
Tampa, FL 33607
Phone (352) 684-0820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1188JTC | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Medical & Rehab Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Tampa, FL
- NPI 1811200587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1184932964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 W DR MARTIN LUTHER KING DR BLVD",
"address_2": "103",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "352-684-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 W DR LUTHER KING DR BLVD",
"address_2": "#103",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-873-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELS",
"first_name": "CASEEM",
"name_prefix": "Mr.",
"credential": "CASEEM MICHAELS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-15",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "1188JTC",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.