LIFE SPAN REHAB CORP (NPI# 1386741189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386741189 |
| Entity Type | Organization |
| Organization Name | LIFE SPAN REHAB CORP |
| Practice Address |
4710 N Habana Ave Suite 301 Tampa FL 33614 |
| Mailing Address |
Po Box 161 Brandon FL 33509-0161 |
| Practice Telephone | 8138715882 |
| Practice Fax Number | 8138715884 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-06-24 |
| Authorized Official Name | MRS. LINDA LIZ CAMARA (PRESIDENT & ADMINISTRATOR LIFE SPAN) |
| Authorized Official Telephone | 8138715882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | HCC3748 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4710 N HABANA AVE SUITE 301 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648863 | Mcilwain Dental Specialists | Dentist | 4710 N Habana Ave, Ste 203, Tampa, FL 33614-7146 | 2005-06-13 |
| 1760890685 | Kelly Holton | Internal Medicine | 4710 N Habana Ave, Suite 300, Tampa, FL 33614-7161 | 2014-07-23 |
| 1417295072 | Leigh Ann Mcilwain | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1518205160 | James E Mcilwain Jr. | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1710225362 | Michael F Mcilwain | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1326317306 | Richard Lewis Md Pa | Obstetrics & Gynecology | 4710 N Habana Ave, Suite 402, Tampa, FL 33614-7161 | 2011-12-21 |
| 1699056853 | Sohrab Shafii Md Pa | Obstetrics & Gynecology | 4710 N Habana Ave, Suite 304, Tampa, FL 33614-7161 | 2011-09-01 |
| 1942502422 | William A. Alonso Md,pa | Specialist | 4710 N Habana Ave, Suite 404, Tampa, FL 33614-7161 | 2010-12-03 |
| 1356650535 | Gerald H Dominguez, Md Pa | Internal Medicine | 4710 N Habana Ave, Ste #201, Tampa, FL 33614-7146 | 2010-10-05 |
| 1073824645 | Panagiotis Zervogiannis | Internal Medicine | 4710 N Habana Ave, Suite 300, Tampa, FL 33614-7161 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028447 | Ezphyzio Pllc | Physical Therapist | 11269 Windsor Place Circle, Tampa, FL 33626 | 2020-09-21 |
| 1184230823 | Russell Curl | Physical Therapist | 12011 Citrus Falls Cir Apt 302, Tampa, FL 33625-5716 | 2020-09-18 |
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1265040042 | Jovanni Taveras | Physical Therapist | 6511 Johns Rd, Tampa, FL 33634-4738 | 2020-07-17 |
| 1588288930 | Elite Physical Therapy and Recovery LLC | Physical Therapist | 3915 Doral Dr, Tampa, FL 33634-7400 | 2020-06-02 |
| 1629601885 | Ruchi Panara | Physical Therapist | 11801 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2020-02-17 |
| 1790316222 | Kyle Raymond Schindler | Physical Therapist | 12891 Citrus Park Dr, Tampa, FL 33625 | 2020-02-03 |
| 1740811603 | Jerica Rode | Physical Therapist | 12891 Citrus Plaza Dr, Tampa, FL 33625-3010 | 2020-01-30 |
| 1518598663 | Zachary Peterson | Physical Therapist | 10272 Causeway Blvd, Tampa, FL 33619-6606 | 2020-01-28 |
| 1245701358 | Christopher Rausch | Physical Therapist | 16115 E Course Dr, Tampa, FL 33624-1123 | 2018-12-16 |
| 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.