House of Athlete Weston

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HOUSE OF ATHLETE WESTON

Practice address

6912 Asphalt Ave
Tampa, FL 33614

Phone

(262) 488-0118

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Valerie McKay, ESQ

Title

Credentialing Specialist

Phone

(813) 601-9036

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1548900137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 ASPHALT AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "262-488-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 ASPHALT AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "262-488-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF ATHLETE WESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "813-601-9036",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtellefsen@houseofathlete.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6912 Asphalt Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raymond Maung Khin Hou, MD
• John Houk, D.O.
• Michael Houk, ATC
• James Houlden, CRNA, FNP-C
• House of Athlete Tampa LLC
• House of Jadeo
• House of Jewels LLC
• House of Solari Mental Health Services, LLC.
• Anthony House
• Cara Elizabeth House, MD

• 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 Mar 31, 2022; 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.