Individual provider Active NPI

Louise Frazee Black McRee, P.T.

  • Physical Therapist
  • St. Petersburg, FL
National Provider Identifier
1609547397
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
412 12TH Ave. N.
St. Petersburg, FL 33701
Phone
(727) 898-5001
Fax
(727) 894-0554
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X FL Primary

Addresses

Primary practice location

412 12TH Ave. N.
St. Petersburg, FL 33701

Mailing address

1236 Druid Road East
Clearwater, FL 33756
Phone (727) 442-2236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622002579 FL Practitioner - Physical Therapist in Private Practice 7618356635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy and Sports Center IncGroup PAC ID 2062445943, 5 clinicians

Practice addresses (Care Compare)

1236 Druid Rd E
Clearwater, FL 33756-4210
Phone (727) 442-2236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy & Sports Center, Inc. Physical Therapist CurrentSince Mar 24, 2022 Accepting new patients
Therapy and Sports Center, Inc. Physical Therapist PastSince Sep 28, 2021 Accepting new patients

Locations

1236 Druid Rd E
Clearwater, FL 33756
Phone (727) 442-2236

412 12th Ave N
St Petersburg, FL 33701
Phone (727) 344-9472

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1609547397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 DRUID ROAD EAST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-442-2236",
            "fax_number": "727-442-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 12TH AVE. N.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-898-5001",
            "fax_number": "727-894-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREE",
        "first_name": "LOUISE",
        "middle_name": "FRAZEE BLACK",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "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 Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.