Westminster Shores, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

RA644 Issued in FL

Legal business name

WESTMINSTER SHORES, INC.

Practice address

125 56TH Ave S
St Petersburg, FL 33705-5400

Phone

(727) 867-2131

Fax

(727) 866-8454

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Henry T Keith

Title

Chief Financial Officer

Phone

(407) 839-5050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 686734

Legal name

WESTMINSTER SHORES, INC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Aug 18, 2004

Last certification

May 16, 2024

Ownership / control type

Proprietary

Facility address

125 56TH Ave S
Saint Petersburg, FL 33705

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740225374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W LUCERNE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013779",
            "telephone_number": "407-839-5050",
            "fax_number": "407-849-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 56TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337055400",
            "telephone_number": "727-867-2131",
            "fax_number": "727-866-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMINSTER SHORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "407-839-5050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "RA644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coley Lauren Westerberg, PA-C
• Rikki Allison Westerman
• Rita A. Westermann-Bolton, EDD
• James A. Westervelt, M.D.
• Westminster Senior Services, Inc.
• Amanda Weston, LMHC
• Khalilah Weston, M.D.
• Kelli Lauren Wetzel, MS, CCC-SLP
• WG PT, LLC
• WH FL Dental PLLC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.