Preferred Injury Physicians of Temple Terrace

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PREFERRED INJURY PHYSICIANS OF TEMPLE TERRACE

Practice address

12110 N 56TH St
Temple Terrace, FL 33617-1658

Phone

(813) 900-7246

NPI assigned

Dec 23, 2020

Organization subpart

No

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

Authorized official

Name

Maria Gil

Title

Operations Manager

Phone

(813) 900-7246

Specialties & licenses 1

Addresses

Other names 1

• Preferred Injury Physicians of Temple Terrace Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1245827385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171658",
            "telephone_number": "813-900-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171658",
            "telephone_number": "813-900-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED INJURY PHYSICIANS OF TEMPLE TERRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "813-900-7246"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttoffice@pipdoc.com",
            "affiliation": "N",
            "address_1": "12110 N 56th St",
            "city": "Temple Terrace",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336171658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Preferred Injury Physicians of Temple Terrace",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.