Organization Active NPI

Competitive Edge Performance Inc

  • Physical Therapy Clinic/Center
  • Tampa, FL
National Provider Identifier
1215124409
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
14087 Issued in FL
Legal business name
COMPETITIVE EDGE PERFORMANCE INC
Practice address
13817 W Hillsborough Ave
Tampa, FL 33635-9655
Phone
(813) 849-0150
Fax
(813) 849-0151
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Stephanie Lynn BrookeNPI 1790098820
Title
Chief Operating Officer
Phone
(813) 849-0150

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 14087 FL Primary

Addresses

Primary practice location

13817 W Hillsborough Ave
Tampa, FL 33635-9655

Mailing address

13046 Race Track Rd Ste 256
Tampa, FL 33626-1302
Phone (813) 849-0150

Other names 1

  • COMPETITIVE EDGE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080317000351 FL Part B Supplier - Clinic/Group Practice 5395820229 Receives reassigned benefits from 9 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

13301 W Hillsborough Ave
Ste 202
Tampa, FL 33635
Phone (813) 849-0150

13817 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 849-0150

3105 W Bay To Bay Blvd
Tampa, FL 33629
Phone (813) 849-0150

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1215124409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13046 RACE TRACK RD STE 256",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261302",
            "telephone_number": "813-849-0150",
            "fax_number": "813-849-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13817 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359655",
            "telephone_number": "813-849-0150",
            "fax_number": "813-849-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPETITIVE EDGE PERFORMANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "BROOKE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "813-849-0150"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "14087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPETITIVE EDGE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "COMPETITIVE EDGE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 26, 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.