Organization Active NPI

Gsa Rehabilitation & Pain Management

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1699048447
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8073 Issued in FL
Legal business name
GSA REHABILITATION & PAIN MANAGEMENT
Practice address
1045 W Busch Blvd
Tampa, FL 33612-7703
Phone
(813) 918-5878
Fax
(813) 333-1127
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Mr. Avelino T Garcia, PTA
Title
Administrator
Phone
(813) 918-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT8073 FL Primary

Addresses

Primary practice location

1045 W Busch Blvd
Tampa, FL 33612-7703

Mailing address

10511 Coral Key Ave
Tampa, FL 33647-3461
Phone (813) 926-8701

Other names 1

  • GSA REHAB Doing business as

National Provider Directory

National Provider Directory

Locations

1045 W Busch Blvd
Tampa, FL 33612
Phone (813) 918-5878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1699048447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 CORAL KEY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473461",
            "telephone_number": "813-926-8701",
            "fax_number": "813-333-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127703",
            "telephone_number": "813-918-5878",
            "fax_number": "813-333-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSA REHABILITATION & PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "AVELINO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-918-5880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GSA REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 9, 2012; 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.