M D Therapy Services, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

M D THERAPY SERVICES, LLC

Practice address

455 Belcher Rd S
Largo, FL 33771-5522

Phone

(727) 328-0599

Fax

(727) 328-2071

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Gregory Young

Title

Secretary & Cao

Phone

(904) 733-1003

Specialties & licenses 1

Addresses

Other names 2

• Concierge Therapy Solutions Doing business as
• Fusion Healthcare Doing business as

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1205855491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 SALISBURY RD STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560957",
            "telephone_number": "904-333-9820",
            "fax_number": "727-328-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715522",
            "telephone_number": "727-328-0599",
            "fax_number": "727-328-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M D THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "SECRETARY & CAO",
        "authorized_official_telephone_number": "904-733-1003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Therapy Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fusion Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fusion Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• M & M Ultrasports, Inc.
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• Jhelsin Mabaga
• Kelly Leigh Macallister
• Michaela Machak, AU.D
• Alistair J Macneil, MD

• Rehabilitation Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.