Nathaniel Flores, PHD

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

PY12040 Issued in FL

Practice address

8501 Temple Terrace Highway
Tampa, FL 33637

Phone

(813) 972-2000

NPI assigned

Jul 24, 2017

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1750804563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 W VILLAGE DR UNIT 1321",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336243429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 TEMPLE TERRACE HIGHWAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33637",
            "telephone_number": "813-972-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4522 W Village Dr Unit 1321",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336243429",
            "country_code": "US",
            "telephone_number": "626-584-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "NATHANIEL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "FL",
            "license": "PY12040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO INSURANCE",
            "identifier": "$$$$$$$$$",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Flores, PA
• Marie Flores
• Marisa Flores
• May Flores
• Michael Flores, PT, DPT
• Rae Flores
• Raizah Priscilla Flores
• Rosa Yareli Flores, M.D.
• Vella Elizabeth Flores
• Timothy John Floreth, MD

• Rehabilitation Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Rehabilitation Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.