Active NPI
Carolyn Michelle Blanco
- Physical Therapist
- Tampa, FL
National Provider Identifier
1659264521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 6417 E County Line Rd Ste 100
Tampa, FL 33647-1855 - Phone
- (813) 461-8840
- Fax
- (813) 461-8834
- NPI assigned
- May 30, 2025
- 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 | Primary |
Addresses
Primary practice location
6417 E County Line Rd Ste 100
Tampa, FL 33647-1855
Mailing address
8808 Wyndbrook CT
Odessa, FL 33556-1713
Phone (813) 598-6210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Community Hospital, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748736000000",
"number": "1659264521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8808 WYNDBROOK CT",
"city": "ODESSA",
"state": "FL",
"postal_code": "335561713",
"telephone_number": "813-598-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6417 E COUNTY LINE RD STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471855",
"telephone_number": "813-461-8840",
"fax_number": "813-461-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "CAROLYN",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-30",
"last_updated": "2025-06-01",
"certification_date": "2025-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Jun 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.