Vital Care Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VITAL CARE REHAB LLC

Practice address

5307 Baywater Dr
Tampa, FL 33615-3536

Phone

(813) 946-4533

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Adrian Aquino Sierra, PT

Title

Owner

Phone

(813) 946-4533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1396513446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 BAYWATER DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153536",
            "telephone_number": "813-946-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 BAYWATER DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153536",
            "telephone_number": "813-946-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "AQUINO SIERRA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-946-4533",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.