Family Physical Therapy Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT0005096 Issued in FL

Legal business name

FAMILY PHYSICAL THERAPY CENTER

Practice address

704 W Lumsden Rd
Brandon, FL 33511-6260

Phone

(813) 654-3808

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Janiesse O Rivera, P.T

Title

President

Phone

(813) 654-3808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1235324005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116260",
            "telephone_number": "813-654-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116260",
            "telephone_number": "813-654-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JANIESSE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-654-3808",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT0005096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family First Homecare, LLC
• Family First Vision Care PLLC
• Family Implant and Cosmetic Dentistry, PLLC
• Family Medical Express and Riverview Pediatrics
• Family Medical Express Center, Inc.
• Family Practice Center of Brandon LLC
• Family Vision Enterprises Inc
• Family Vision Inc
• Fantastic Group Home and Caregivers LLC
• Paul Edward Farag, MD

• Physical Therapy Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.