Organization Active NPI

Tampa Sport & Spine

  • Clinic/Center
  • South Daytona, FL
National Provider Identifier
1275933681
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH10885 Issued in FL
Legal business name
TAMPA SPORT & SPINE
Doing business as
Levick Performance & Rehab
Practice address
949 Beville Rd
D5
South Daytona, FL 32119-1705
Phone
(813) 230-3607
NPI assigned
Sep 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Taylor Jourdan Levick, DCNPI 1609211200
Title
Owner
Phone
(813) 230-3607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH10885 FL Primary

Addresses

Primary practice location

949 Beville Rd
D5
South Daytona, FL 32119-1705

Mailing address

170 Acklins Cir
Apartment 308
Daytona Beach, FL 32119-9781
Phone (813) 230-3607

Other names 1

  • Levick Performance & Rehab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1275933681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 ACKLINS CIR",
            "address_2": "APARTMENT 308",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321199781",
            "telephone_number": "813-230-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 BEVILLE RD",
            "address_2": "D5",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191705",
            "telephone_number": "813-230-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA SPORT & SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "LEVICK",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "JOURDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-230-3607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH10885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levick Performance & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.