NPIMap

Organization Active NPI

New Tampa Interventional Pain and Sports Medicine, Inc

  • Physical Medicine & Rehabilitation Physician
  • Wesley Chapel, FL
National Provider Identifier
1326478942
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME89848 Issued in FL
Legal business name
NEW TAMPA INTERVENTIONAL PAIN AND SPORTS MEDICINE, INC
Practice address
2014 Ashley Oaks Cir
Suite 101
Wesley Chapel, FL 33544-6400
Phone
(813) 999-3030
NPI assigned
Nov 18, 2013
Last updated
Dec 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Dr. Jose De la Torre, M.D.NPI 1881699577
Title
Owner
Phone
(813) 309-1013

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME89848 FL Primary
Interventional Pain Medicine Physician 208VP0014X ME89848 FL

Addresses

Primary practice location

2014 Ashley Oaks Cir
Suite 101
Wesley Chapel, FL 33544-6400

Mailing address

2014 Ashley Oaks Cir
Suite 101
Wesley Chapel, FL 33544-6400
Phone (813) 999-3030

Other identifiers 2

IdentifierTypeStateIssuer
P00400544OtherFLRR MEDICARE
269279100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131216001388 FL Part B Supplier - Clinic/Group Practice 2567699606 Receives reassigned benefits from 6 practitioners
Practice locations: Wesley Chapel, FL

National Provider Directory

National Provider Directory

Locations

2014 Ashley Oaks Cir
#101
Wesley Chapel, FL 33544
Phone (813) 298-9026

2014 Ashley Oaks Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 815-5380

2321 Crestover Ln
Wesley Chapel, FL 33544
Phone (813) 257-9617

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1326478942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 ASHLEY OAKS CIR",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446400",
            "telephone_number": "813-999-3030",
            "fax_number": "813-991-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 ASHLEY OAKS CIR",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446400",
            "telephone_number": "813-999-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TAMPA INTERVENTIONAL PAIN AND SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-309-1013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME89848",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME89848",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00400544",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269279100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.