Carewell Physical Therapy & Balance Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CAREWELL PHYSICAL THERAPY & BALANCE CENTER LLC

Practice address

3802 Ehrlich Rd Ste 309
Tampa, FL 33624-2355

Phone

(813) 468-8171

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Manijot Kaur GrewalNPI 1700446861

Title

Authorized Member

Phone

(813) 468-8171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manijot Kaur Grewal, PT

  • Physical Therapist
  • Tampa, FL
  • NPI 1700446861
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1205675246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5158 BALLANTRAE BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383065",
            "telephone_number": "813-468-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 EHRLICH RD STE 309",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242355",
            "telephone_number": "813-468-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWELL PHYSICAL THERAPY & BALANCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "MANIJOT",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "813-468-8171"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.

Verify at the official NPI Registry.