Organization Active NPI

Heisha Medical & Therapy Ctr.

  • Physical Therapy Clinic/Center
  • Tampa, FL
National Provider Identifier
1922332709
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MM23434 Issued in FL
Legal business name
HEISHA MEDICAL & THERAPY CTR.
Practice address
4620 N Habana Ave
# 200
Tampa, FL 33614-7107
Phone
(786) 370-9527
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Yaima Thaureaux
Title
President
Phone
(786) 370-9527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MM23434 FL Primary

Addresses

Primary practice location

4620 N Habana Ave
# 200
Tampa, FL 33614-7107

Mailing address

6420 N Habana Ave #202
Tampa, FL 33614

National Provider Directory

National Provider Directory

Locations

4620 N Habana Ave
#200
Tampa, FL 33614
Phone (786) 370-9527

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1922332709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 N HABANA AVE #202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N HABANA AVE",
            "address_2": "# 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147107",
            "telephone_number": "786-370-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEISHA MEDICAL & THERAPY CTR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "THAUREAUX",
        "authorized_official_first_name": "YAIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-370-9527"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MM23434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.