Organization Active NPI

Chest PT 101, LLC

  • Registered Respiratory Therapist
  • Lakeland, FL
National Provider Identifier
1922649151
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
Legal business name
CHEST PT 101, LLC
Practice address
4745 Old Highway 37 Ste 103
Lakeland, FL 33813-2031
Phone
(833) 327-8101
Fax
(833) 327-8101
NPI assigned
Sep 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Tamika L Grubbs, RN
Title
Don
Phone
(407) 730-0795

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227900000X Primary
Educational Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279E1000X
Pulmonary Rehabilitation Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279P1005X
Pulmonary Function Technologist Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279P1006X
Home Health Agency 251E00000X

Addresses

Primary practice location

4745 Old Highway 37 Ste 103
Lakeland, FL 33813-2031

Mailing address

4745 Old Highway 37 Ste 103
Lakeland, FL 33813-2031
Phone (833) 327-8101

National Provider Directory

National Provider Directory

Locations

4745 Old Highway 37
Ste 103
Lakeland, FL 33813
Phone (833) 327-8101

141 W Central Ave
Ste 11
Winter Haven, FL 33880

NPI Registry JSON

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1922649151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 OLD HIGHWAY 37 STE 103",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132031",
            "telephone_number": "833-327-8101",
            "fax_number": "833-327-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OLD HIGHWAY 37 STE 103",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132031",
            "telephone_number": "833-327-8101",
            "fax_number": "833-327-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEST PT 101, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-29",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "407-730-0795",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.