NPIMap

Organization Active NPI

Hyperbaric Treatment Association

  • Primary Care Clinic/Center
  • St Augustine, FL
National Provider Identifier
1902116049
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
RN9303002 Issued in FL
Legal business name
HYPERBARIC TREATMENT ASSOCIATION
Practice address
129 Seagrove Main Street
202
Saint Augustine, FL 32080-6376
Phone
(804) 296-4094
NPI assigned
Oct 7, 2010
Last updated
Sep 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. Michelle Renee Reillo, PHDNPI 1275846420
Title
Director
Phone
(804) 296-4094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RN9303002 FL Primary

Addresses

Primary practice location

129 Seagrove Main Street
202
Saint Augustine, FL 32080-6376

Mailing address

129 Seagrove Main Street
202
Saint Augustine, FL 32080
Phone (804) 296-4094

Other identifiers 1

IdentifierTypeStateIssuer
1407050024OtherFLJOHN DELUCA, M.D., MEDICAL DIRECTOR, NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1902116049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SEAGROVE MAIN STREET",
            "address_2": "202",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32080",
            "telephone_number": "804-296-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SEAGROVE MAIN STREET",
            "address_2": "202",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806376",
            "telephone_number": "804-296-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPERBARIC TREATMENT ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "REILLO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-296-4094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "RN9303002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DELUCA, M.D., MEDICAL DIRECTOR, NPI",
            "identifier": "1407050024",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.