Individual provider Active NPI

Anthony Esposito IV, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
National Provider Identifier
1710267620
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS13086 Issued in FL
Practice address
14310 N Dale Mabry Hwy Ste 280
Tampa, FL 33618-2059
Phone
(813) 603-7463
Fax
(813) 706-6796
NPI assigned
Aug 23, 2011
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS13086 FL Primary

Addresses

Primary practice location

14310 N Dale Mabry Hwy Ste 280
Tampa, FL 33618-2059

Mailing address

14310 N Dale Mabry Hwy Ste 280
Tampa, FL 33618-2059
Phone (813) 603-7463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170703001350 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 4183993314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1710267620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 N DALE MABRY HWY STE 280",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182059",
            "telephone_number": "813-603-7463",
            "fax_number": "813-706-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 N DALE MABRY HWY STE 280",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182059",
            "telephone_number": "813-603-7463",
            "fax_number": "813-706-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS13086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.