Organization Active NPI

Primacare Injury Center, Inc.

  • Physical Therapy Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1477814226
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PRIMACARE INJURY CENTER, INC.
Practice address
3236 MLK St N
St Petersburg, FL 33704-1202
Phone
(813) 343-2222
Fax
(813) 501-1444
NPI assigned
Jun 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Mr. John Lloyd Wheeler, ARNP
Title
Ceo
Phone
(813) 343-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3236 MLK St N
St Petersburg, FL 33704-1202

Mailing address

3236 MLK St N
St Petersburg, FL 33704-1202
Phone (813) 343-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1477814226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 MLK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041202",
            "telephone_number": "813-343-2222",
            "fax_number": "813-501-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 MLK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041202",
            "telephone_number": "813-343-2222",
            "fax_number": "813-501-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMACARE INJURY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-343-2222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.