Active NPI
Florida Physical Medicine, LLC
- Specialist
- St Petersburg, FL
National Provider Identifier
1972678084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- FLORIDA PHYSICAL MEDICINE, LLC
- Practice address
- 5622 Central Ave
St Petersburg, FL 33707-1718 - Phone
- (727) 345-7900
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonje Stevens
- Title
- Adm
- Phone
- (727) 518-2977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
5622 Central Ave
St Petersburg, FL 33707-1718
Mailing address
2200 W Bay Dr
Largo, FL 33770-1929
Phone (727) 518-2977
National Provider Directory
National Provider DirectoryLocations
5622 Central Ave
St Petersburg, FL 33707
Phone (727) 345-7900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Largo, FL
- NPI 1902804636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191456000000",
"number": "1972678084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W BAY DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337701929",
"telephone_number": "727-518-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5622 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337071718",
"telephone_number": "727-345-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA PHYSICAL MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2007-10-04",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "TONJE",
"authorized_official_title_or_position": "ADM",
"authorized_official_telephone_number": "727-518-2977"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Florida Neuroimaging Associates PA
- Florida No Fault Injury Centers, Inc.
- Florida Oral Surgery Associates
- Florida Pain Management
- Florida Pediatric Associates LLC
- Florida Plastic & Reconstructive Surgery, LLC
- Florida Specialty Surgery Center LLC
- Florida United Radiology, LC
- Florida United Radiology, LC
- Florida United Radiology, LC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.