Active NPI
Back to Health Rehab, Inc.
- Physical Therapy Clinic/Center
- Tampa, FL
National Provider Identifier
1366770760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- MA23980
- Legal business name
- BACK TO HEALTH REHAB, INC.
- Practice address
- 6002 Whippoorwill Dr
Tampa, FL 33625-1359 - Phone
- (813) 244-5302
- NPI assigned
- Nov 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Juan Carlos Alvarez Sr., L.M.T.
- Title
- Owner
- Phone
- (813) 244-5302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | MA23980 | FL | Primary |
Addresses
Primary practice location
6002 Whippoorwill Dr
Tampa, FL 33625-1359
Mailing address
6002 Whippoorwill Dr
Tampa, FL 33625-1359
Phone (813) 244-5302
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258934400000",
"number": "1366770760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 WHIPPOORWILL DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336251359",
"telephone_number": "813-244-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 WHIPPOORWILL DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336251359",
"telephone_number": "813-244-5302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK TO HEALTH REHAB, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-23",
"last_updated": "2009-11-23",
"status": "A",
"authorized_official_last_name": "ALVAREZ",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "CARLOS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-244-5302",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "L.M.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "MA23980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.