Active NPI
Victoria Tavenner, DPT
- Physical Therapist
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39553
- Practice address
- 2414 Enterprise Rd
Clearwater, FL 33763-1751 - Phone
- (727) 796-4345
- NPI assigned
- Nov 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | PT39553 | FL | Primary |
Addresses
Primary practice location
2414 Enterprise Rd
Clearwater, FL 33763-1751
Mailing address
13020 N Telecom Pkwy
Temple Terrace, FL 33637-0915
Phone (813) 978-9700
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2414 Enterprise Rd
Florida Orthopaedic Institute
Clearwater, FL 33763-1751
Phone (813) 978-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musculoskeletal Institute Chartered | Current | Accepting new patients | |
| Musculoskeletal Institute Chartered | Current | Accepting new patients | |
| Tallahassee Orthopedic Clinic III, P.L. | Current | Accepting new patients | |
| Tallahassee Orthopedic Clinic III PL | Single Specialty | Current | Accepting new patients |
| Musculoskeletal Institute Chartered | Single Specialty | Current | Accepting new patients |
Locations
2414 Enterprise Rd
Clearwater, FL 33763
Phone (727) 796-4345
2414 Enterprise Rd
Ste 301
Clearwater, FL 33763
2414 Enterprise Rd
Fl Orthopaedic
Clearwater, FL 33763
3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808
13020 N Telecom Pkwy
Temple Terrace, FL 33637
13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000
Interoperability endpoints
- victoria.tavenner.2@18802.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Medical Specialty Clinic/Center
- Tallahassee, FL
- NPI 1194778050
Single Specialty
-
- Orthopaedic Surgery Physician
- Temple Terrace, FL
- NPI 1386639920
Single Specialty
-
- Orthopaedic Surgery Physician
- Zephyrhills, FL
- NPI 1467305839
-
- Prosthetic/Orthotic Supplier
- Tampa, FL
- NPI 1710031653
-
- Durable Medical Equipment & Medical Supplies
- Panama City Beach, FL
- NPI 1497617948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1679281968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13020 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370915",
"telephone_number": "813-978-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2414 ENTERPRISE RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337631751",
"telephone_number": "727-796-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVENNER",
"first_name": "VICTORIA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT39553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.