Organization Active NPI

Suncoast Sports and Orthopedic Therapy, Inc.

  • Physical Therapy Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1891961603
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SUNCOAST SPORTS AND ORTHOPEDIC THERAPY, INC.
Practice address
5535 Park St N
St Petersburg, FL 33709-6309
Phone
(727) 209-0579
Fax
(727) 209-0580
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Wayne B Whittle, PT
Title
Owner
Phone
(727) 345-3346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5535 Park St N
St Petersburg, FL 33709-6309

Mailing address

40 66TH St N
St Petersburg, FL 33710-8408
Phone (727) 345-3346

Other names 1

  • Next Step Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Next Step Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1891961603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108408",
            "telephone_number": "727-345-3346",
            "fax_number": "727-345-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337096309",
            "telephone_number": "727-209-0579",
            "fax_number": "727-209-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST SPORTS AND ORTHOPEDIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "WHITTLE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-345-3346",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Step Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.