Prime Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRIME PHYSICAL THERAPY INC

Practice address

4895 W Waters Ave
Suite E
Tampa, FL 33634-1316

Phone

(813) 932-3315

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Robin Lynn JohnsonNPI 1497966493

Title

Owner

Phone

(813) 932-3315

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Lynn Johnson, LMT

  • Massage Therapist
  • Tampa, FL
  • NPI 1497966493
  NPD Authorized official
• Louis Arevalo, PTA

  • Physical Therapy Assistant
  • Tampa, FL
  • NPI 1083089650
  NPD (past)
• Kevin Brooks, PTA

  • Physical Therapy Assistant
  • Tampa, FL
  • NPI 1790354710

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1427259779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272689",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336882689",
            "telephone_number": "813-932-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 W WATERS AVE",
            "address_2": "SUITE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341316",
            "telephone_number": "813-932-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-932-3315",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222535",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2906996",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "350376000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-PAR BCBS",
            "identifier": "Y0571",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Care Physicians Alliance
• Prime Care Home Health Services LLC
• Prime Care Home Health Services LLC
• Prime Endocrinology of Tampa, LLC
• Prime Healthcare LLC
• Prime Physical Therapy, Inc.
• Prime RX LLC
• Sara Primeau
• Primecare Gandy, LLC
• Primecare Medical Group

• 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 Oct 28, 2015; 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.