NPIMap

Organization Active NPI

Therapy & Sports Center, Inc.

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1336247014
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1891 Issued in FL
Legal business name
THERAPY & SPORTS CENTER, INC.
Practice address
412 12TH Ave N
St Petersburg, FL 33701-1120
Phone
(727) 898-5001
Fax
(727) 894-0554
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Mrs. Debbie Ann Hutchins
Title
Office Manager
Phone
(727) 898-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 1891 FL Primary

Addresses

Primary practice location

412 12TH Ave N
St Petersburg, FL 33701-1120

Mailing address

PO Box 7746
St Petersburg, FL 33734-7746
Phone (727) 898-5001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050912000873 FL Part B Supplier - Clinic/Group Practice 2062445943 Receives reassigned benefits from 6 practitioners
Practice locations: Riverview, FL; St Petersburg, FL; Clearwater, FL; Brandon, FL

National Provider Directory

National Provider Directory
Tax ID family
Therapy Sports Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13011 Summerfield Square Dr
Riverview, FL 33578
Phone (813) 374-2209

2750 S Falkenburg Rd
Riverview, FL 33578
Phone (813) 622-3885

412 12th Ave N
St Petersburg, FL 33701
Phone (727) 344-9472

4511 N Himes Ave
Ste 100
Tampa, FL 33614
Phone (813) 873-9114

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1336247014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7746",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337347746",
            "telephone_number": "727-898-5001",
            "fax_number": "727-894-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 12TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011120",
            "telephone_number": "727-898-5001",
            "fax_number": "727-894-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY & SPORTS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "HUTCHINS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-898-5001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 1891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.