Individual provider Active NPI

Heather Allred, P.T.

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1639408149
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20198 Issued in FL
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

Updated by the provider on Jan 14, 2016

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 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

IdentifierTypeStateIssuer
888360200MedicaidFL
Y018SZOtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302000845 FL Practitioner - Physical Therapist in Private Practice 6608763867 Reassigns benefits to 2 organizations

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
Bain Complete Wellness LLCGroup PAC ID 9638315302, 2 clinicians

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

LicenseStateTypeSpecialty
PT20198FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 30, 2024 Accepting new patients
Bain Complete Wellness LLC. Physical Therapist CurrentSince Jul 1, 2015 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.

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.

Verify at the official NPI Registry.