Eileen W Summers

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6508 Gunn Hwy
Tampa, FL 33625-4022

Phone

(813) 963-6923

Fax

(813) 264-0768

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Independent Living Inc.

  • Speech-Language Pathologist
  • Tampa, FL
  • NPI 1124072947

  Physical Therapist

  NPD (past)
• Independent Living Inc.

  • Behavior Analyst
  • Tampa, FL
  • NPI 1750156519
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1740330968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 CANDLEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132805",
            "telephone_number": "863-294-1429",
            "fax_number": "863-298-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254022",
            "telephone_number": "813-963-6923",
            "fax_number": "813-264-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "EILEEN",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT20199",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889152400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel Summa
• Michael Anthony Summa Jr., D.C
• Jessica Summerlin
• Earlene Alicia Summerline - Steele, OTR
• Christopher Summers, PH.D.
• Juliet Aleene Summers, PAC
• Megan Raeanne Summers
• Summerville at Carrollwood, LLC
• Tanna Morris Summerville, RN
• Summit Health Multi Specialty of Florida LLC

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.