Organization Active NPI

My Virtual Physio, LLC

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1679214951
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MY VIRTUAL PHYSIO, LLC
Practice address
3137 Windlass CT
Tampa, FL 33607-5850
Phone
(770) 362-0854
Fax
(813) 696-3788
NPI assigned
Apr 2, 2022
Last updated
Apr 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Authorized official

Name
Dr. Lance Alexander Bayer, PT, DPT, CSCSNPI 1922594597
Title
Physical Therapist
Phone
(770) 362-0854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3137 Windlass CT
Tampa, FL 33607-5850

Mailing address

11 San Marco St Apt 608
Clearwater Beach, FL 33767-2061
Phone (770) 362-0854

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1679214951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SAN MARCO ST APT 608",
            "city": "CLEARWATER BEACH",
            "state": "FL",
            "postal_code": "337672061",
            "telephone_number": "770-362-0854",
            "fax_number": "813-696-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 WINDLASS CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075850",
            "telephone_number": "770-362-0854",
            "fax_number": "813-696-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY VIRTUAL PHYSIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "BAYER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "770-362-0854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "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 Apr 2, 2022; 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.