Active NPI
Total Vitality Medical Group, LLC
- Family Medicine Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TOTAL VITALITY MEDICAL GROUP, LLC
- Practice address
- 24945 US Highway 19 N
Clearwater, FL 33763-3927 - Phone
- (727) 726-1460
- Fax
- (727) 724-9705
- NPI assigned
- Jun 7, 2006
- 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
- Adam S Rosoff, DC
- Title
- Owner
- Phone
- (727) 726-1460
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
24945 US Highway 19 N
Clearwater, FL 33763-3927
Mailing address
24945 US Highway 19 N
Clearwater, FL 33763-3927
Phone (727) 726-1460
Other practice location 1
1001 37th St N Ste D
St Petersburg, FL 33713-6010
Phone (727) 914-9130
Other practice location 2
667 W Lumsden Rd
Brandon, FL 33511-5911
Phone (813) 867-7323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2090171 | Total Vitality Medical Group LLC | Certificate of waiver | Jan 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Team Mua
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Clearwater, FL
- NPI 1619251139
-
- Chiropractor
- Clearwater, FL
- NPI 1770829673
-
- Non-Pharmacy Dispensing Site
- Tampa, FL
- NPI 1154700276
Locations
667 W Lumsden Rd
Brandon, FL 33511
Phone (813) 867-7323
26750 US Highway 19 N
Ste 100
Clearwater, FL 33761
Phone (727) 726-1460
1001 37th St N
St Petersburg, FL 33713
Phone (727) 384-3338
1001 37th St N
Ste D
St Petersburg, FL 33713
Phone (727) 327-6897
Practitioners & affiliated clinicians
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- St Petersburg, FL
- NPI 1841583812
-
- Physical Therapist
- Clearwater, FL
- NPI 1558592840
-
- General Practice Physician
- Clearwater, FL
- NPI 1669564241
-
- Chiropractor
- Clearwater, FL
- NPI 1811285539
-
- Chiropractor
- Clearwater, FL
- NPI 1205385317
-
- Chiropractor
- Clearwater, FL
- NPI 1568536647
-
- Chiropractor
- Clearwater, FL
- NPI 1700111697
-
- Family Nurse Practitioner
- Clearwater, FL
- NPI 1760954473
-
- Family Nurse Practitioner
- Clearwater, FL
- NPI 1538529490
-
- Chiropractor
- Tampa, FL
- NPI 1407804966
-
- Chiropractor
- Clearwater, FL
- NPI 1902989254
-
- Chiropractor
- New Port Richey, FL
- NPI 1356439202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674777600000",
"number": "1376583609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24945 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337633927",
"telephone_number": "727-726-1460",
"fax_number": "727-724-9705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24945 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337633927",
"telephone_number": "727-726-1460",
"fax_number": "727-724-9705"
}
],
"practiceLocations": [
{
"address_1": "1001 37th St N Ste D",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337136010",
"country_code": "US",
"telephone_number": "727-914-9130",
"fax_number": "727-914-9131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "667 W Lumsden Rd",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115911",
"country_code": "US",
"telephone_number": "813-867-7323",
"fax_number": "813-867-7326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TOTAL VITALITY MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A",
"authorized_official_last_name": "ROSOFF",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-726-1460",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.