NPIMap

Organization Active NPI

Kennedy Medical Rehabiliton Center Inc.

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1780919449
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH8096 Issued in FL
Legal business name
KENNEDY MEDICAL REHABILITON CENTER INC.
Practice address
3601 W Kennedy Blvd Ste C
Tampa, FL 33609-2850
Phone
(813) 877-6405
Fax
(813) 877-6450
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Curtis E Garner, D.C.
Title
Owner
Phone
(813) 877-6405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH8096 FL Primary

Addresses

Primary practice location

3601 W Kennedy Blvd Ste C
Tampa, FL 33609-2850

Mailing address

3601 W Kennedy Blvd Ste C
Tampa, FL 33609-2850
Phone (813) 877-6405

National Provider Directory

National Provider Directory

Locations

3601 W Kennedy Blvd
Ste C
Tampa, FL 33609
Phone (813) 877-6405

Practitioners & affiliated clinicians

Practitioners 1

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": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1780919449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W KENNEDY BLVD STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092850",
            "telephone_number": "813-877-6405",
            "fax_number": "813-877-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W KENNEDY BLVD STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092850",
            "telephone_number": "813-877-6405",
            "fax_number": "813-877-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY MEDICAL REHABILITON CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-877-6405",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH8096",
            "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 13, 2009; 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.