Organization Active NPI

Bay City Rehab & Wellness Inc.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1740520428
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7685 Issued in FL
Legal business name
BAY CITY REHAB & WELLNESS INC.
Practice address
4624 N Armenia Ave
Tampa, FL 33603-2706
Phone
(813) 874-2646
Fax
(813) 874-2656
NPI assigned
Feb 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Scott E BarryNPI 1306994975
Title
President
Phone
(813) 874-2646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH7685 FL Primary

Addresses

Primary practice location

4624 N Armenia Ave
Tampa, FL 33603-2706

Mailing address

4624 N Armenia Ave
Tampa, FL 33603-2706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150429000984 FL Part B Supplier - Clinic/Group Practice 7315266129 Receives reassigned benefits from 2 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

4624 N Armenia Ave
Tampa, FL 33603
Phone (813) 874-2646

Practitioners & affiliated clinicians

Practitioners 4

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": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1740520428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032706",
            "telephone_number": "813-874-2646",
            "fax_number": "813-874-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CITY REHAB & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-874-2646"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7685",
            "primary": true
        }
    ],
    "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 Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.