NPIMap

Organization Active NPI

Injury Wellness Clinic Inc

Doing business as Injury Wellness Clinic

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1215305214
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10655 Issued in FL
Legal business name
INJURY WELLNESS CLINIC INC
Doing business as
Injury Wellness Clinic
Practice address
9724 N Armenia Ave Ste 400
Tampa, FL 33612-7550
Phone
(813) 530-9300
Fax
(813) 933-0968
NPI assigned
Sep 8, 2015
Last updated
Apr 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Phu D TranNPI 1871844654
Title
President
Phone
(813) 530-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10655 FL Primary

Addresses

Primary practice location

9724 N Armenia Ave Ste 400
Tampa, FL 33612-7550

Mailing address

9724 N Armenia Ave Ste 400
Tampa, FL 33612-7550
Phone (813) 530-9300

Other names 1

  • Injury Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

9724 N Armenia Ave
Ste 400
Tampa, FL 33612
Phone (813) 464-0967

Practitioners & affiliated clinicians

Practitioners 3

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": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1215305214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9724 N ARMENIA AVE STE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127550",
            "telephone_number": "813-530-9300",
            "fax_number": "813-933-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9724 N ARMENIA AVE STE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127550",
            "telephone_number": "813-530-9300",
            "fax_number": "813-933-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY WELLNESS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PHU",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-530-9300"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Injury Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Injury Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2021; 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.