Organization Active NPI

Suncoast Sports and Orthopedic Therapy

  • Durable Medical Equipment & Medical Supplies
  • St. Petersburg, FL
National Provider Identifier
1922286129
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PT7410 Issued in FL
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

Updated by the provider on May 17, 2012

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.