Individual provider Active NPI

Avegille Tabelon Uy, PT

  • Physical Therapist
  • Valrico, FL
National Provider Identifier
1346013554
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40144 Issued in FL
Practice address
1586 Bloomingdale Ave
Valrico, FL 33596-6101
Phone
(813) 978-9700
Fax
(813) 558-6044
NPI assigned
Oct 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT40144 FL Primary

Addresses

Primary practice location

1586 Bloomingdale Ave
Valrico, FL 33596-6101

Mailing address

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0915
Phone (813) 978-9700

Other identifiers 1

IdentifierTypeStateIssuer
Q00637025OtherFLRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108000291 FL Practitioner - Physical Therapist in Private Practice 9638526999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Orthopedic Clinic III PLGroup PAC ID 4284532755, 538 clinicians

Practice addresses (Care Compare)

1586 Bloomingdale Ave
Valrico, FL 33596-6101
Phone (813) 978-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40144FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Musculoskeletal Institute Chartered CurrentSince Nov 6, 2023 Accepting new patients
Tallahassee Orthopedic Clinic III PL CurrentSince Nov 12, 2024 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Nov 6, 2023 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Nov 12, 2024 Accepting new patients
Musculoskeletal Institute Chartered Current Accepting new patients
Musculoskeletal Institute Chartered Past Accepting new patients
Coastal Orthopedics & Sports Medicine of Southwest Florida PA Past Accepting new patients
Tallahassee Orthopedic Clinic III PL Past Accepting new patients

Locations

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

1586 Bloomingdale Ave
Ste 101
Valrico, FL 33596

1586 Bloomingdale Ave
Fl Orthopaedic
Valrico, FL 33596

1586 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 558-6850

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: avegille.uy.2@18802.direct.athenahealth.com
  • Direct secure messaging: avegille.uy.4@18802.direct.athenahealth.com
  • Direct secure messaging: avegille.uy.1@18802.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1346013554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370915",
            "telephone_number": "813-978-9700",
            "fax_number": "813-558-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 BLOOMINGDALE AVE",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966101",
            "telephone_number": "813-978-9700",
            "fax_number": "813-558-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UY",
        "first_name": "AVEGILLE",
        "middle_name": "TABELON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q00637025",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.