Organization Active NPI

Total Orthopedic Rehabilitation, Inc

  • Chiropractor
  • Seffner, FL
National Provider Identifier
1386814366
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TOTAL ORTHOPEDIC REHABILITATION, INC
Practice address
1115 Dr Martin Luther King Junior Blvd
Seffner, FL 33584
Phone
(813) 654-8585
Fax
(813) 653-2965
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Shawn Joseph Edwards, D.C.NPI 1679534085
Title
President
Phone
(813) 541-2112

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1115 Dr Martin Luther King Junior Blvd
Seffner, FL 33584

Mailing address

1115 Dr Martin Luther King Junior Blvd
Seffner, FL 33584
Phone (813) 654-8585

Other identifiers 1

IdentifierTypeStateIssuer
55202OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

1115 W Mlk Blvd
Seffner, FL 33584
Phone (813) 654-8585

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1386814366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 DR MARTIN LUTHER KING JUNIOR BLVD",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "33584",
            "telephone_number": "813-654-8585",
            "fax_number": "813-653-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 DR MARTIN LUTHER KING JUNIOR BLVD",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "33584",
            "telephone_number": "813-654-8585",
            "fax_number": "813-653-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ORTHOPEDIC REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-541-2112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55202",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seffner, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.