Organization Active NPI

ER Rehab Center LLC

  • Rehabilitation Chiropractor
  • Tampa, FL
National Provider Identifier
1891025151
Registry record updated Jan 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
ER REHAB CENTER LLC
Practice address
3619 Henderson Blvd
Tampa, FL 33609-4501
Phone
(813) 874-6500
NPI assigned
Jan 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2010

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

Authorized official

Name
Rafael A Frias
Title
Owner
Phone
(813) 874-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

3619 Henderson Blvd
Tampa, FL 33609-4501

Mailing address

3619 Henderson Blvd
Tampa, FL 33609-4501

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263081600000",
    "number": "1891025151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094501",
            "telephone_number": "813-874-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ER REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-10",
        "last_updated": "2010-01-10",
        "status": "A",
        "authorized_official_last_name": "FRIAS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-874-6500"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, 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 Jan 10, 2010; 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.