MEDERAPY HEALTH GROUP (NPI# 1265074397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265074397 |
| Entity Type | Organization |
| Organization Name | MEDERAPY HEALTH GROUP |
| Practice Address |
6424 N Armenia Ave Tampa FL 33604-5712 |
| Practice Telephone | 3058041200 |
| Mailing Telephone | 3058041200 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | DR. MIGUEL ANGEL LABRADA (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3057721052 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PT33901 | PT33901 | 01 |
| Street Address |
6424 N ARMENIA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33604-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417656 | Miguel Labrada | Physical Therapist | 6424 N Armenia Ave, Tampa, FL 33604-5712 | 2017-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578838 | Gail Hartmaier | Technician | 3805 East Crenshaw Street, Tampa, FL 33604 | 2019-09-24 |
| 1023662749 | Yohana Botero | Social Worker | 6620 North Nebraska Ave, Tampa, FL 33604 | 2019-07-31 |
| 1578065025 | Linda Mcclain | Counselor | 7207 North Nebraska Avenue, Tampa, FL 33604 | 2018-03-01 |
| 1851811178 | Rosa Ramirez-tineo | Counselor | 7207 N Nebraska Avenue, Tampa, FL 33604 | 2017-06-27 |
| 1225432651 | Anna Stouffer | Nurse Practitioner | 17 Davis Blvd., Suite 402, Tampa, FL 33604 | 2014-10-14 |
| 1982028601 | Yetey Enterprises Inc Dba Springswater Alf | Assisted Living Facility | 1411 E Waters Ave, Tampa, FL 33604 | 2014-02-17 |
| 1053734301 | Yetey Enterprises Inc | Assisted Living Facility | 8602 N 22nd St, Tampa, FL 33604 | 2014-01-22 |
| 1902232887 | Sierra Alicia Montgomery | Developmental Therapist | 300 E Sligh Ave, Tampa, FL 33604 | 2013-09-23 |
| 1639432305 | Carmen's Goodcare Alf, Corp. | Assisted Living Facility | 908 W Yukon St., Tampa, FL 33604 | 2012-06-19 |
| 1427328913 | Daniellas Alf LLC | Respite Care | 1910 W Fern St, Tampa, FL 33604 | 2011-12-30 |
| Find all providers in zip 33604 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1386252534 | Florida Medical Labs Inc | Clinic/Center | 2901 W Busch Blvd Ste 206, Tampa, FL 33618-4564 | 2020-07-14 |
| 1114403227 | Robust Pain & Wellness Medical Center Inc | Clinic/Center | 3105 W Waters Ave Ste 210, Tampa, FL 33614-2873 | 2018-07-12 |
| 1720599137 | United States Management | Clinic/Center | 1419 W Waters Ave Ste 105, Tampa, FL 33604-2896 | 2017-10-12 |
| 1891240693 | Nuessence LLC | Clinic/Center | 18001 Malakai Isle Dr, Tampa, FL 33647-2991 | 2016-08-22 |
| 1306220777 | Medical A Center Inc | Clinic/Center | 7825 N Dale Marby Hwy, Ste 27, Tampa, FL 33614 | 2015-07-16 |
| 1144615196 | Balanced Health, Pllc | Clinic/Center | 11327 Countryway Blvd, Tampa, FL 33626-2610 | 2015-04-06 |
| 1134539273 | Lotus Path Wellness Center | Clinic/Center | 3642 Madaca Ln, Tampa, FL 33618-2057 | 2014-04-29 |
| 1689091050 | Dcreasequeen, Inc. | Clinic/Center | 11634 Bristol Chase Dr, Tampa, FL 33626-3300 | 2014-03-24 |
| 1790127249 | Ferrer Medical Center | Clinic/Center | 8313 W Hillsborough Ave Ste 260, Tampa, FL 33615-3818 | 2013-07-25 |
| 1205278264 | Century Health Center | Clinic/Center | 7402 N 56th St Bldg 900, Suite 907, Tampa, FL 33617-7733 | 2013-07-18 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.