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Organization Active NPI

Axiom Medical Clinic LLC

Doing business as Axiom Neck to Back Medical Clinic LLC

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1750335329
Registry record updated Sep 11, 2025
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(7) exclusion effective Oct 17, 2012.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20245 Issued in FL
Legal business name
AXIOM MEDICAL CLINIC LLC
Doing business as
Axiom Neck to Back Medical Clinic LLC
Practice address
9507 Anderson Rd
Tampa, FL 33634-1252
Phone
(813) 319-1330
Fax
(813) 319-1340
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Wendy Newman
Title
Comptroller
Phone
(815) 227-9900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH 8788 FL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME 93347 FL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT20245 FL Primary

Addresses

Primary practice location

9507 Anderson Rd
Tampa, FL 33634-1252

Mailing address

7177 Crimson Ridge Dr
Suite 14
Rockford, IL 61107-6208
Phone (815) 227-9900

Other names 1

  • Axiom Neck to Back Medical Clinic LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

9507 Anderson Rd
Tampa, FL 33634
Phone (813) 319-1330

Practitioners & affiliated clinicians

Practitioners 6

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1750335329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 CRIMSON RIDGE DR",
            "address_2": "SUITE 14",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076208",
            "telephone_number": "815-227-9900",
            "fax_number": "815-227-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9507 ANDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341252",
            "telephone_number": "813-319-1330",
            "fax_number": "813-319-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "815-227-9900"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8788",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 93347",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axiom Neck to Back Medical Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.