Individual provider Active NPI

Brock Labelle, PT, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1871105064
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35800 Issued in FL
Practice address
3105 W Bay to Bay Blvd
Tampa, FL 33629-7211
Phone
(813) 849-0150
NPI assigned
Aug 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT35800 FL Primary

Addresses

Primary practice location

3105 W Bay to Bay Blvd
Tampa, FL 33629-7211

Mailing address

7551 Lantern Park Ave
Apollo Beach, FL 33572-1597
Phone (419) 349-8096

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909000153 FL Practitioner - Physical Therapist in Private Practice 3375961345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Competitive Edge Performance IncGroup PAC ID 5395820229, 7 clinicians

Practice addresses (Care Compare)

13817 W Hillsborough Ave
Tampa, FL 33635-9655
Phone (813) 849-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Competitive Edge Performance Inc CurrentSince Aug 25, 2020 Accepting new patients

Locations

13046 Race Track Rd
Tampa, FL 33626
Phone (352) 256-1074

13817 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 849-0150

13301 W Hillsborough Ave
Ste 202
Tampa, FL 33635
Phone (813) 849-0150

3105 W Bay To Bay Blvd
Tampa, FL 33629
Phone (813) 849-0150

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1871105064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 LANTERN PARK AVE",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721597",
            "telephone_number": "419-349-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W BAY TO BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297211",
            "telephone_number": "813-849-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABELLE",
        "first_name": "BROCK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35800",
            "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 Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.