Individual provider Active NPI

Amy Sue Yepez, DPT, PT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1376774760
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24868 Issued in FL
Practice address
600 N Westshore Blvd
Tampa, FL 33609-1140
Phone
(813) 371-3416
NPI assigned
Aug 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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 PT24868 FL Primary

Addresses

Primary practice location

600 N Westshore Blvd
Tampa, FL 33609-1140

Mailing address

600 N Westshore Blvd
Tampa, FL 33609-1140
Phone (813) 371-3416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200128000411 FL Practitioner - Physical Therapist in Private Practice 3870928559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

5424 Lena Rd
Bradenton, FL 34211-9448
Phone (941) 263-3098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT24868FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SDS Medical, LLC Physical Therapist CurrentSince Jan 2, 2020 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients

Locations

5424 Lena Rd
Lakewood Ranch, FL 34211
Phone (850) 380-4657

5831 Bee Ridge Rd
Ste 300
Sarasota, FL 34233
Phone (941) 378-5100

Organizations & group practices 3

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": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1376774760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N WESTSHORE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091140",
            "telephone_number": "813-371-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WESTSHORE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091140",
            "telephone_number": "813-371-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEPEZ",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24868",
            "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 Aug 3, 2009; 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.