Organization Active NPI

Buschwood Rehabilitation LLC

  • Specialist
  • Tampa, FL
National Provider Identifier
1649595299
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 56282 Issued in FL
Legal business name
BUSCHWOOD REHABILITATION LLC
Practice address
1502 W Busch Blvd
Ste 1a
Tampa, FL 33612-7668
Phone
(813) 932-8300
Fax
(813) 932-8303
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Mr. Micheal Anthony Dino, LMT
Title
Owner
Phone
(813) 932-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA 56282 FL Primary

Addresses

Primary practice location

1502 W Busch Blvd
Ste 1a
Tampa, FL 33612-7668

Mailing address

1502 W Busch Blvd
Ste 1a
Tampa, FL 33612-7668
Phone (813) 932-8300

National Provider Directory

National Provider Directory

Locations

1502 W Busch Blvd
Ste 1A
Tampa, FL 33612
Phone (813) 932-8300

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1649595299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W BUSCH BLVD",
            "address_2": "STE 1A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127668",
            "telephone_number": "813-932-8300",
            "fax_number": "813-932-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W BUSCH BLVD",
            "address_2": "STE 1A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127668",
            "telephone_number": "813-932-8300",
            "fax_number": "813-932-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSCHWOOD REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "DINO",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-932-8300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA 56282",
            "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 Apr 6, 2010; 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.