Active NPI
P&G Medical Reh Center Inc.
- Massage Therapist
- Tampa, FL
National Provider Identifier
1417150343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MM14475
- Legal business name
- P&G MEDICAL REH CENTER INC.
- Practice address
- 2901 W Busch Blvd Ste 801
Tampa, FL 33618-4570 - Phone
- (813) 935-8001
- Fax
- (813) 935-8948
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jose V Pujols
- Title
- President
- Phone
- (813) 935-8001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MM14475 | FL | Primary |
Addresses
Primary practice location
2901 W Busch Blvd Ste 801
Tampa, FL 33618-4570
Mailing address
2901 W Busch Blvd Ste 801
Tampa, FL 33618-4570
Phone (813) 935-8001
Other names 1
- NONE
National Provider Directory
National Provider Directory- Tax ID family
- PG Medical Reh Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Tampa, FL
- NPI 1891849527
Locations
2901 W Busch Blvd
Ste 801
Tampa, FL 33618
Phone (813) 512-6210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417150343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 W BUSCH BLVD STE 801",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184570",
"telephone_number": "813-935-8001",
"fax_number": "813-935-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 W BUSCH BLVD STE 801",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184570",
"telephone_number": "813-935-8001",
"fax_number": "813-935-8948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P&G MEDICAL REH CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PUJOLS",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-935-8001",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MM14475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NONE",
"code": "5",
"type": "Other Name"
}
]
}
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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.