Bay Area Injury Rehab Specialists Holdings Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BAY AREA INJURY REHAB SPECIALISTS HOLDINGS INC

Doing business as

Bay Area Injury Rehab Specialists

Practice address

11801 N Dale Mabry Hwy
Tampa, FL 33618-3505

Phone

(813) 930-8454

Fax

(813) 930-9554

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Lauren Ashley Marez

Title

Practice Manager

Phone

(813) 930-8454

Specialties & licenses 1

Addresses

Other names 1

• Bay Area Injury Rehab Specialists Doing business as

Locations

Practitioners 5

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

• Lance Gerald Avellana Nadala, RPT

  • Physical Therapist
  • Tampa, FL
  • NPI 1407618788
  NPD
• Ruchi Panara

  • Physical Therapist
  • Tampa, FL
  • NPI 1629601885
  NPD
• Tory H Brand, PT

  • Physical Therapist
  • Tampa, FL
  • NPI 1376676809
  NPD (past)
• Michael Elston Gomez, P.T.

  • Physical Therapist
  • Tampa, FL
  • NPI 1861519670
  NPD (past)
• Lawrence Elwood Shepard, D.O.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1982754941
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1376662593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272450",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336882450",
            "telephone_number": "813-930-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183505",
            "telephone_number": "813-930-8454",
            "fax_number": "813-930-9554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38306 Daughtery Rd",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335401486",
            "country_code": "US",
            "telephone_number": "813-788-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA INJURY REHAB SPECIALISTS HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "MAREZ",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "813-930-8454"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Injury Rehab Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.