Organization Active NPI

Rehab Associates of West Florida

  • Physical Medicine & Rehabilitation Physician
  • Largo, FL
National Provider Identifier
1598734428
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
REHAB ASSOCIATES OF WEST FLORIDA
Practice address
901 Clearwater Largo Rd N
Largo, FL 33770-4126
Phone
(727) 584-4533
Fax
(727) 581-7386
NPI assigned
Mar 14, 2006
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
Richard A. Liles, M.D.
Title
President
Phone
(727) 584-4533

Specialties & licenses 1

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

Addresses

Primary practice location

901 Clearwater Largo Rd N
Largo, FL 33770-4126

Mailing address

901 Clearwater Largo Rd N
Largo, FL 33770-4126
Phone (727) 584-4533

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598734428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704126",
            "telephone_number": "727-584-4533",
            "fax_number": "727-581-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704126",
            "telephone_number": "727-584-4533",
            "fax_number": "727-581-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ASSOCIATES OF WEST FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-584-4533",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, 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.