Organization Active NPI

P&G Medical Reh Center Inc.

  • Massage Therapist
  • Tampa, FL
National Provider Identifier
1417150343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM14475 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory
Tax ID family
PG Medical Reh Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.