Lissmart Rehabilitation of Tampa,Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

HCC7865 Issued in FL

Legal business name

LISSMART REHABILITATION OF TAMPA,INC

Practice address

8130 W Waters Ave
130
Tampa, FL 33615-1821

Phone

(813) 888-7177

Fax

(813) 888-7110

NPI assigned

Dec 2, 2009

Organization subpart

No

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

Authorized official

Name

Lisvet Martinez

Title

V.President

Phone

(813) 888-7177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1639407638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 W WATERS AVE",
            "address_2": "130",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151821",
            "telephone_number": "813-888-7177",
            "fax_number": "813-888-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 W WATERS AVE",
            "address_2": "130",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151821",
            "telephone_number": "813-888-7177",
            "fax_number": "813-888-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISSMART REHABILITATION OF TAMPA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LISVET",
        "authorized_official_title_or_position": "V.PRESIDENT",
        "authorized_official_telephone_number": "813-888-7177"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC7865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M. Petrica-Moser, PH.D. Inc.
• Lisset Maria Suarez MD PA
• Lissmart Medical Supplies Inc
• Lissmart Medical Supplies Inc
• Lissmart Medical Supply, Inc
• Alan List, MD
• Brock Lister
• Jennifer Jones Lister, PH.D.
• Theodore John Liswith, LCSW
• Katherine Elizabeth Litman, OTR/L

• Rehabilitation Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.