Empowered PT, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT24895 Issued in FL

Legal business name

EMPOWERED PT, PLLC

Practice address

2705 W Mississippi Ave
Tampa, FL 33629-6131

Phone

(813) 508-2553

Fax

(352) 475-5393

NPI assigned

Feb 12, 2015

Organization subpart

No

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

Authorized official

Name

Alyssa F Stewart, DPT

Title

President

Phone

(813) 508-2553

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1962893917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 W MISSISSIPPI AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296131",
            "telephone_number": "813-508-2553",
            "fax_number": "352-475-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 W MISSISSIPPI AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296131",
            "telephone_number": "813-508-2553",
            "fax_number": "352-475-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-508-2553",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT24895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.