NPIMap

Organization Active NPI

Orthopaedic Medical Group of Tampa Bay PA

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
National Provider Identifier
1760979140
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
Practice address
10740 Palm River Rd Ste 310
Tampa, FL 33619-4577
Phone
(813) 684-2663
NPI assigned
Apr 20, 2018
Organization subpart
Yes
Parent organization
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Taryn Reid
Title
Credentialing Manager
Phone
(813) 534-0102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

10740 Palm River Rd Ste 310
Tampa, FL 33619-4577

Mailing address

10740 Palm River Rd Ste 310
Tampa, FL 33619-4577
Phone (813) 684-2663

Other names 2

  • Orthopaedic Medical Group Physical Therapy Doing business as
  • Orthopaedic Medical Group of Tampa Bay PA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190723003328 FL DME Supplier - Physician - General Practice 9436220415 Practice locations: Tampa, FL

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Orthopaedic Medical Gro10 organizations share this tax ID, including this one
Part of
Orthopaedic Medical Gro

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1760979140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 PALM RIVER RD STE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194577",
            "telephone_number": "813-684-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 PALM RIVER RD STE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194577",
            "telephone_number": "813-684-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA",
        "enumeration_date": "2018-04-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "TARYN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "813-534-0102"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Medical Group Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopaedic Medical Group of Tampa Bay PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 2025; 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.