Active NPI
Suncoast Sports and Orthopedic Therapy
- Durable Medical Equipment & Medical Supplies
- St. Petersburg, FL
National Provider Identifier
1922286129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PT7410
- Legal business name
- SUNCOAST SPORTS AND ORTHOPEDIC THERAPY
- Practice address
- 40 66TH Street North
St. Petersburg, FL 33710-8408 - Phone
- (727) 345-3346
- Fax
- (727) 345-3595
- NPI assigned
- Feb 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Mariano Kiag, P.T.
- Title
- Owner/ P.T.
- Phone
- (727) 209-0579
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PT7410 | FL | Primary |
| Customized Equipment (DME) | 332BC3200X | PT7410 | FL |
Addresses
Primary practice location
40 66TH Street North
St. Petersburg, FL 33710-8408
Mailing address
40 66TH Street North
St. Petersburg, FL 33710-8408
Phone (727) 345-3346
Other names 1
- Next Step Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110323000616 | FL | DME Supplier - Independently-Practicing Physical Therapist | 0446243729 | Practice locations: St Petersburg, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Physical Therapy Clinic/Center
- St. Petersburg, FL
- NPI 1588738074
0446243729
National Provider Directory
National Provider DirectoryLocations
40 66th St N
St Petersburg, FL 33710
Phone (727) 345-3346
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Saint Petersburg, FL
- NPI 1831337641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337212800000",
"number": "1922286129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 66TH STREET NORTH",
"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": "40 66TH STREET NORTH",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337108408",
"telephone_number": "727-345-3346",
"fax_number": "727-345-3595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNCOAST SPORTS AND ORTHOPEDIC THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-11",
"last_updated": "2012-05-17",
"status": "A",
"authorized_official_last_name": "KIAG",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MARIANO",
"authorized_official_title_or_position": "OWNER/ P.T.",
"authorized_official_telephone_number": "727-209-0579",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "PT7410",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "FL",
"license": "PT7410",
"primary": false
}
],
"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 May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.