Organization Active NPI

Performance Health and Rehab

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1609269810
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10633 Issued in FL
Legal business name
PERFORMANCE HEALTH AND REHAB
Practice address
515 N Newport Ave
Tampa, FL 33606-1325
Phone
(813) 254-3707
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Dr. Jamie Lynne Brunet, D.C
Title
Medical Director
Phone
(813) 254-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10633 FL Primary

Addresses

Primary practice location

515 N Newport Ave
Tampa, FL 33606-1325

Mailing address

515 N Newport Ave
Tampa, FL 33606-1325

National Provider Directory

National Provider Directory

Locations

515 N Newport Ave
Tampa, FL 33606
Phone (813) 254-3707

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1609269810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N NEWPORT AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N NEWPORT AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061325",
            "telephone_number": "813-254-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE HEALTH AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "BRUNET",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-254-3707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10633",
            "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 12, 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.