Organization Active NPI

Rehabmed South

  • Spinal Cord Injury Medicine Physician
  • Tampa, FL
National Provider Identifier
1750753547
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
ME90836 Issued in FL
Legal business name
REHABMED SOUTH
Practice address
8875 Hidden River Pkwy
Ste 300
Tampa, FL 33637-1035
Phone
(813) 975-7465
NPI assigned
Oct 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
John Lawrence Merritt, MD
Title
Owner
Phone
(813) 975-7465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Spinal Cord Injury Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P0004X ME90836 FL Primary

Addresses

Primary practice location

8875 Hidden River Pkwy
Ste 300
Tampa, FL 33637-1035

Mailing address

8875 Hidden River Pkwy
Ste 300
Tampa, FL 33637-1035
Phone (813) 975-7465

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1750753547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 HIDDEN RIVER PKWY",
            "address_2": "STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371035",
            "telephone_number": "813-975-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 HIDDEN RIVER PKWY",
            "address_2": "STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371035",
            "telephone_number": "813-975-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABMED SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-975-7465",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "FL",
            "license": "ME90836",
            "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 Oct 20, 2015; 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.