Individual provider Active NPI

Erich Rene Rabell

  • Physical Therapy Assistant
  • Tampa, FL
National Provider Identifier
1689808966
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA25249 Issued in FL
Practice address
4015 N Armenia Ave
Tampa, FL 33607-1001
Phone
(813) 732-9053
NPI assigned
May 14, 2009
Last updated
Oct 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA25249 FL Primary
Massage Therapist 225700000X MA 54921 FL

Addresses

Primary practice location

4015 N Armenia Ave
Tampa, FL 33607-1001

Mailing address

4015 N Armenia Ave
Tampa, FL 33607-1001

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

State licenses

LicenseStateTypeSpecialty
PTA25249FLMDPhysical Therapy Assistant
MA 54921FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1689808966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071001",
            "telephone_number": "813-732-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABELL",
        "first_name": "ERICH",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-14",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25249",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 54921",
            "primary": false
        }
    ],
    "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 Oct 30, 2014; 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.