Active NPI
Heather Allred, P.T.
- Physical Therapist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20198
- Practice address
- 10311 Cross Creek Blvd
Suite E
Tampa, FL 33647 - Phone
- (813) 907-9898
- NPI assigned
- Dec 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20198 | FL | Primary |
Addresses
Primary practice location
10311 Cross Creek Blvd
Suite E
Tampa, FL 33647
Mailing address
1868 Highland Oaks Blvd
Ste B
Lutz, FL 33559-7413
Phone (813) 907-9898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888360200 | Medicaid | FL | |
| Y018SZ | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Busch Lake Blvd
Tampa, FL 33614-1860
Phone (813) 936-7979
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20198 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Bain Complete Wellness LLC. | Physical Therapist | Current | Accepting new patients |
| Florida Pain Relief Group PLLC | Past | Accepting new patients | |
| Pain Institute of Tampa Bay PLC | Past | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
1868 Highland Oaks Blvd
Ste B
Lutz, FL 33559
Phone (813) 574-2460
13023 Summerfield Square Dr
Riverview, FL 33578
Phone (813) 677-9500
10311 Cross Creek Blvd
Ste E
Tampa, FL 33647
Phone (813) 574-2460
2901 Busch Lake Blvd
Tampa, FL 33614
Phone (813) 936-7979
10311 Cross Creek Blvd
Tampa, FL 33647
Phone (813) 907-9898
2818 Cypress Ridge Blvd
Ste 100
Wesley Chapel, FL 33544
Phone (813) 574-2460
Organizations & group practices 4
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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tampa, FL
- NPI 1376994608
-
- Pain Medicine (Anesthesiology) Physician
- Tampa, FL
- NPI 1235227026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1639408149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1868 HIGHLAND OAKS BLVD",
"address_2": "STE B",
"city": "LUTZ",
"state": "FL",
"postal_code": "335597413",
"telephone_number": "813-907-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10311 CROSS CREEK BLVD",
"address_2": "SUITE E",
"city": "TAMPA",
"state": "FL",
"postal_code": "33647",
"telephone_number": "813-907-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "HEATHER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-11",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888360200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Y018SZ",
"state": null
}
],
"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 Jan 14, 2016; 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.