Organization Active NPI

Agape East Tampa Inc.

  • Physical Therapy Clinic/Center
  • Tampa, FL
National Provider Identifier
1205647583
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AGAPE EAST TAMPA INC.
Practice address
2123 W Dr Martin Luther King Jr Blvd Ste 203
Tampa, FL 33607-6545
Phone
(813) 459-2002
NPI assigned
Jan 16, 2025
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Francisco Xavier Quintana, MDNPI 1487698460
Title
Owner
Phone
(813) 459-2002

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2123 W Dr Martin Luther King Jr Blvd Ste 203
Tampa, FL 33607-6545

Mailing address

PO Box 661597
Miami Springs, FL 33266-1597
Phone (813) 459-2002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1205647583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661597",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "332661597",
            "telephone_number": "813-459-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD STE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-459-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE EAST TAMPA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-459-2002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 16, 2025; 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.