Organization Active NPI

Fuerza Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Tampa, FL
National Provider Identifier
1396412045
Registry record updated Aug 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FUERZA PHYSICAL THERAPY, LLC
Practice address
1601 N Marion St
Tampa, FL 33602-2638
Phone
(816) 462-8565
NPI assigned
Aug 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2021

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

Authorized official

Name
Dr. Samantha R Gach, DPTNPI 1396384012
Title
Ceo
Phone
(816) 462-8565

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1601 N Marion St
Tampa, FL 33602-2638

Mailing address

401 N Rome Ave Apt 4306
Tampa, FL 33606-0050
Phone (816) 462-8565

Other practice location 1

114 S 12th St
Tampa, FL 33602-4208
Phone (816) 462-8565

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL fuerzaphysicaltherapy.janeapp.com

National Provider Directory

National Provider Directory

Locations

114 S 12th St
Tampa, FL 33602
Phone (816) 462-8565

1601 N Marion St
Tampa, FL 33602
Phone (816) 462-8565

Practitioners & affiliated clinicians

Practitioners 1

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": "1630195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630195200000",
    "number": "1396412045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N ROME AVE APT 4306",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336060050",
            "telephone_number": "816-462-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N MARION ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022638",
            "telephone_number": "816-462-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 S 12th St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336024208",
            "country_code": "US",
            "telephone_number": "816-462-8565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUERZA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-29",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-28",
        "status": "A",
        "authorized_official_last_name": "GACH",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-462-8565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fuerzaphysicaltherapy.janeapp.com",
            "affiliation": "N",
            "endpointDescription": "JaneApp",
            "address_1": "401 N Rome Ave Apt 4306",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336060050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 29, 2021; 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.