Active NPI
Michael Anthony Summa Jr., D.C
- Chiropractor
- Tampa, FL
National Provider Identifier
1255003653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13712
- Practice address
- 4282 W Linebaugh Ave
Tampa, FL 33624-5241 - Phone
- (813) 930-6112
- NPI assigned
- Oct 4, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13712 | FL | Primary |
Addresses
Primary practice location
4282 W Linebaugh Ave
Tampa, FL 33624-5241
Mailing address
6250 Park Blvd N
Pinellas Park, FL 33781-3237
Phone (727) 541-2520
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 813-930-6332 | ||
| Other URL | 8139306332 | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4282 W Linebaugh Ave
Tampa, FL 33624-5241
Phone (813) 930-6112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13712 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Rehabilitation and Wellness Center Inc | Chiropractor | Current | Accepting new patients |
| Long Chiropractic & Rehab Center | Chiropractor | Current | Accepting new patients |
| Gulf Coast Physical Medicine, Inc. | Chiropractor | Past | Accepting new patients |
Locations
6250 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 541-2520
4282 W Linebaugh Ave
Tampa, FL 33624
Phone (813) 930-6112
Networks
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Tampa, FL
- NPI 1316284441
-
- Chiropractor
- Pinellas Park, FL
- NPI 1922297977
-
- Chiropractor
- Pinellas Park, FL
- NPI 1902081649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1255003653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6250 PARK BLVD N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813237",
"telephone_number": "727-541-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4282 W LINEBAUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336245241",
"telephone_number": "813-930-6112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMA",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-04",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "13712",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "813-930-6332",
"affiliation": "N",
"endpointDescription": "Fax",
"address_1": "4282 W Linebaugh Ave",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336245241",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "8139306332",
"affiliation": "N",
"endpointDescription": "Fax",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Fax",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Fax",
"address_1": "4282 W Linebaugh Ave",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336245241",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.