Organization Active NPI

Community Industrial Medicine PL

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1376639831
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COMMUNITY INDUSTRIAL MEDICINE PL
Practice address
5500 9TH Street North
St Petersburg, FL 33703-1294
Phone
(727) 525-5500
Fax
(727) 522-2574
NPI assigned
Oct 4, 2006
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Stephanie A Barber
Title
Manager
Phone
(727) 525-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

5500 9TH Street North
St Petersburg, FL 33703-1294

Mailing address

5500 9TH St N
Saint Petersburg, FL 33703-1204
Phone (727) 525-5500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1376639831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 9TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337031204",
            "telephone_number": "727-525-5500",
            "fax_number": "727-522-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 9TH STREET NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031294",
            "telephone_number": "727-525-5500",
            "fax_number": "727-522-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INDUSTRIAL MEDICINE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-525-5500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.