Active NPI
Walter Raymond Raynor, CO
- Orthotist
- Tampa, FL
National Provider Identifier
1215000658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- ORT140
- Practice address
- 2727 Martin Luther King Blvd
Suite 690
Tampa, FL 33607 - Phone
- (813) 540-0100
- Fax
- (813) 248-0629
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | ORT140 | FL | Primary |
Addresses
Primary practice location
2727 Martin Luther King Blvd
Suite 690
Tampa, FL 33607
Mailing address
5311 E Flatcher Avenue
Tampa, FL 33617
Phone (813) 985-5000
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 |
|---|---|---|---|
| ORT140 | FL | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westcoast Brace & Limb | Orthotist | Past | Accepting new patients |
| Westcoast Brace & Limb | Orthotist | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215000658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5311 E FLATCHER AVENUE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33617",
"telephone_number": "813-985-5000",
"fax_number": "813-985-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 MARTIN LUTHER KING BLVD",
"address_2": "SUITE 690",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-540-0100",
"fax_number": "813-248-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNOR",
"first_name": "WALTER",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "FL",
"license": "ORT140",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.