Organization Active NPI

Ortho Impulsa LLC

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
National Provider Identifier
1811535719
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ORTHO IMPULSA LLC
Practice address
4450 E Fletcher Ave Ste a
Tampa, FL 33613-4907
Phone
(813) 241-1414
Fax
(813) 336-2112
NPI assigned
Dec 11, 2019
Organization subpart
Yes
Parent organization
ORTHOLINKS ORTHOPEDICS AND REHABILITATION, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Gene Jason Hunt, DO
Title
Owner/Founder
Phone
(813) 241-1414

Specialties & licenses 1

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

Addresses

Primary practice location

4450 E Fletcher Ave Ste a
Tampa, FL 33613-4907

Mailing address

4450 E Fletcher Ave Ste a
Tampa, FL 33613-4907
Phone (813) 241-1414

National Provider Directory

National Provider Directory
Part of
Ortholinks Orthos and Rehab

Locations

4450 E Fletcher Ave
Ste A
Tampa, FL 33613
Phone (813) 241-1414

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1811535719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 E FLETCHER AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134907",
            "telephone_number": "813-241-1414",
            "fax_number": "813-336-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 E FLETCHER AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134907",
            "telephone_number": "813-241-1414",
            "fax_number": "813-336-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO IMPULSA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOLINKS ORTHOPEDICS AND REHABILITATION, LLC",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "813-241-1414",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 Dec 11, 2019; 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.