Suncoast Physical Medicine of North Tampa LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

SUNCOAST PHYSICAL MEDICINE OF NORTH TAMPA LLC

Practice address

3450 E Fletcher Ave Ste 320
Tampa, FL 33613-4659

Phone

(813) 668-0000

Fax

(813) 668-0978

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Jasmine Quintana

Title

Office Manager

Phone

(813) 906-0000

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raul Emmanuel Axtmayer Carcache, DC

  • Chiropractor
  • Tampa, FL
  • NPI 1083375117
  NPD
• Corie Mendizabal

  • Chiropractor
  • Tampa, FL
  • NPI 1568235752
  NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1831806561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E FLETCHER AVE STE 320",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134659",
            "telephone_number": "813-668-0000",
            "fax_number": "813-668-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E FLETCHER AVE STE 320",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134659",
            "telephone_number": "813-668-0000",
            "fax_number": "813-668-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST PHYSICAL MEDICINE OF NORTH TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-906-0000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jasmine@suncoastspinemed.com",
            "affiliation": "N",
            "endpointDescription": "Direct office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "3450 E Fletcher Ave Ste 320",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336134659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suncoast Hospice of Hillsborough LLC
• Suncoast Massage Therapy Center, P.a.
• Suncoast MRI, Inc.
• Suncoast New Options Inc.
• Suncoast Pediatric Epilepsy & Neuropsychology Specialist Inc.
• Suncoast Physical Medicine, LLC (Suncoast Spinemed)
• Suncoast Radiopharmacy Services, Inc.
• Suncoast Therapy, LLC
• Suncoast Total Healthcare of Tampa, LLC
• Suncoast Ur LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.