Gulf Coast Rehabilitation and Wellness Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GULF COAST REHABILITATION AND WELLNESS CENTER INC

Practice address

6250 Park Blvd
Pinellas Park, FL 33781-3237

Phone

(727) 541-2520

Fax

(727) 544-8971

NPI assigned

Oct 16, 2007

Last updated

May 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Ronald Lee, D.C.NPI 1316903438

Title

Chiropractor

Phone

(727) 541-2520

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 14

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.

• Kevin R Lee, DC

  • Chiropractor
  • Pinellas Park, FL
  • NPI 1316903438
  Medicare reassignment NPD Authorized official
• Geraldine Bailey, AGNP

  • Nurse Practitioner
  • Hudson, FL
  • NPI 1073090932
  Medicare reassignment NPD
• Maximillian Luke Covert, APRN

  • Acute Care Nurse Practitioner
  • Largo, FL
  • NPI 1356825632
  Medicare reassignment NPD
• Todd Robert Mitchell, DPT

  • Physical Therapist
  • Aventura, FL
  • NPI 1568920411
  Medicare reassignment NPD
• Autumn Burns, DC

  • Rehabilitation Chiropractor
  • Pinellas Park, FL
  • NPI 1871239855

  Multi-Specialty

  NPD
• Marc Antony Cowart, PTA

  • Physical Therapy Assistant
  • Pinellas Park, FL
  • NPI 1255023040
  NPD
• Jodi Fuller, LMT

  • Massage Therapist
  • Pinellas Park, FL
  • NPI 1558057257
  NPD
• Samantha R Garbazio

  • Massage Therapist
  • Pinellas Park, FL
  • NPI 1932946324
  NPD
• Richard Edward Heath

  • Physical Therapy Assistant
  • Pinellas Park, FL
  • NPI 1427875046
  NPD
• Chelsea A Livesey, LMT

  • Massage Therapist
  • Pinellas Park, FL
  • NPI 1497469001
  NPD
• Michael Anthony Summa Jr., D.C

  • Chiropractor
  • Tampa, FL
  • NPI 1255003653
  NPD
• Julian Bell

  • Massage Therapist
  • Pinellas Park, FL
  • NPI 1649105164
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1922297977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 PARK BLVD",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813237",
            "telephone_number": "727-541-2520",
            "fax_number": "727-544-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 PARK BLVD",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813237",
            "telephone_number": "727-541-2520",
            "fax_number": "727-544-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST REHABILITATION AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "727-541-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Greene, C.S.T.
• Anita Faye Griffin, COUNSELOR, MA
• Leah Patricia Griffith, OTR/L
• Jozie Grund
• Gulf Coast Physical Medicine, Inc.
• Gulf Coast Retina Specialists PLLC
• Gulf Coast Vein Center, P.a. (Bowers Vein Institute)
• Gulf Shore Facility Inc (Gulf Shore Care Center)
• Gulf Shore Nursing and Rehab LLC
• Robertzon Guloy, DMD

• Chiropractor in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.