Tampa Bay Physical Therapy, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

TAMPA BAY PHYSICAL THERAPY, LLC

Practice address

13328 Telecom Dr
Temple Terrace, FL 33637-0938

Phone

(352) 426-1751

NPI assigned

Aug 21, 2021

Organization subpart

No

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

Authorized official

Name

Kelly Brooke Pearce Baez, PT, DPT

Title

Physical Therapist

Phone

(352) 426-1751

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1841966520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20110 BLUE DAZE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472965",
            "telephone_number": "352-426-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13328 TELECOM DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370938",
            "telephone_number": "352-426-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-21",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "PEARCE BAEZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "352-426-1751",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tallahassee Orthopedic Clinic III, P.L.
• Tamimi Pharmacy LLC
• Tampa ABA Therapy
• Tampa Bay Institute for Music Therapy, LLC
• Tampa Bay Patient Care/Ryb
• Tampa Bay Radiology Associates PA
• Tampa Family Pharmacy LLC
• Tampa Oaks Senior Living
• Tampa Spine & Wellness LLC
• Tampa Vamc

• Multi-Specialty Clinic/Center in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Multi-Specialty Clinic/Center in Florida

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