Organization Active NPI

West Florida Rehabilitation Specialists Inc

  • Spinal Cord Injury Medicine Physician
  • Tampa, FL
National Provider Identifier
1396279865
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
ME8119 Issued in FL
Legal business name
WEST FLORIDA REHABILITATION SPECIALISTS INC
Practice address
10144 Arbor Run Dr
Unit 8
Tampa, FL 33647-3566
Phone
(813) 995-0981
Fax
(813) 280-6193
NPI assigned
Apr 12, 2017
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Imaduddin Razvi, M.D.NPI 1679859532
Title
President
Phone
(813) 995-0984

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
Spinal Cord Injury Medicine Physician 2081P0004X ME8119 FL Primary

Addresses

Primary practice location

10144 Arbor Run Dr
Unit 8
Tampa, FL 33647-3566

Mailing address

10144 Arbor Run Dr
Unit 8
Tampa, FL 33647-3566
Phone (813) 995-0981

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170602000790 FL Part B Supplier - Clinic/Group Practice 8224305818 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1396279865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10144 ARBOR RUN DR",
            "address_2": "UNIT 8",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473566",
            "telephone_number": "813-995-0981",
            "fax_number": "813-280-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10144 ARBOR RUN DR",
            "address_2": "UNIT 8",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473566",
            "telephone_number": "813-995-0981",
            "fax_number": "813-280-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA REHABILITATION SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "RAZVI",
        "authorized_official_first_name": "IMADUDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-995-0984",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "FL",
            "license": "ME8119",
            "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 Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.