Physique Physical Therapy Personal Training LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIQUE PHYSICAL THERAPY PERSONAL TRAINING LLC

Practice address

5820 S 5TH St
Tampa, FL 33611-4614

Phone

(813) 466-5467

Fax

(888) 475-1151

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Keith E Pacific, PT

Title

President

Phone

(813) 466-5467

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1235528480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 S 5TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336114614",
            "telephone_number": "813-466-5467",
            "fax_number": "888-475-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 S 5TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336114614",
            "telephone_number": "813-466-5467",
            "fax_number": "888-475-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIQUE PHYSICAL THERAPY PERSONAL TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "PACIFIC",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-466-5467",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Assoicates, Inc.
• Pi: Prevention and Intervention Wound Care and Dermatological Services
• Kayla Piatkowski, PA
• Julie Renae Piazza, PHARM.D.
• David Alexander Picca, MD
• Heather Piccariello

• All providers in Tampa, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.