Organization Active NPI

Skilled Physiatrists, PA

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
National Provider Identifier
1487048518
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME 122061 Issued in FL
Legal business name
SKILLED PHYSIATRISTS, PA
Practice address
5004 E Fowler Ave
C-214
Tampa, FL 33617-2181
Phone
(630) 935-2438
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. Syed Mannan Zaffer, M.D.
Title
President
Phone
(630) 935-2438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X ME 122061 FL Primary

Addresses

Primary practice location

5004 E Fowler Ave
C-214
Tampa, FL 33617-2181

Mailing address

5004 E Fowler Ave
C-214
Tampa, FL 33617-2181

National Provider Directory

National Provider Directory

Locations

5004 E Fowler Ave
#C214
Tampa, FL 33617
Phone (630) 935-2438

5004 E Fowler Ave
Ste C214
Tampa, FL 33617

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1487048518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 E FOWLER AVE",
            "address_2": "C-214",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336172181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 E FOWLER AVE",
            "address_2": "C-214",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336172181",
            "telephone_number": "630-935-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED PHYSIATRISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "ZAFFER",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "MANNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-935-2438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME 122061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 26, 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.