SPINE THERAPY INC (NPI# 1396066239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396066239 |
| Entity Type | Organization |
| Organization Name | SPINE THERAPY INC |
| Practice Address |
4211 W Boy Scout Blvd Ste 400 Tampa FL 33607-5766 |
| Mailing Address |
2300 E. Norvell Bryaut Hwy Spine Therapy Inc Hernando FL 34442-8902 |
| Practice Telephone | 8134432108 |
| Practice Fax Number | 8134438255 |
| Mailing Telephone | 3523414778 |
| Mailing Fax Number | 3523414477 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | MR. JAMES JOSEPH RONZO (OWNER) |
| Authorized Official Telephone | 3526972341 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | GULFCOAST SPINE INSTITUTE, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE SHIELD | Y927L | 01 |
| FL | RAIL ROAD MEDICARE | DF4724 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7101 Mariner Blvd, Spring Hill, FL 346091048 | 3525927772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275583411 | Spine Therapy Inc | Specialist | 4211 W Boy Scout Blvd Ste 400, Tampa, FL 33607-5766 | 2006-05-10 |
| Street Address |
4211 W BOY SCOUT BLVD STE 400 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-5766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275583411 | Spine Therapy Inc | Specialist | 4211 W Boy Scout Blvd Ste 400, Tampa, FL 33607-5766 | 2006-05-10 |
| 1477837524 | Justin A Lyon | Physician Assistant | 4211 W Boy Scout Blvd Ste 400, Tampa, FL 33607 | 2011-10-07 |
| 1992721021 | Reginald J Davis | Neurological Surgery | 4211 W Boy Scout Blvd Ste 400, Tampa, FL 33607-5766 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044590 | Prestige Health & Performance | Physical Therapist | 20354 Chestnut Grove Dr, Tampa, FL 33647-3344 | 2020-05-07 |
| 1710519806 | Shawna Rae Sprout | Physical Therapist | 6417 E County Line Rd Ste 100, Tampa, FL 33647-1855 | 2020-02-07 |
| 1992211767 | Jesse Polanco | Physical Therapist | 4019 Henderson Blvd, Tampa, FL 33629-4939 | 2017-12-15 |
| 1922556448 | Richard Scafidi | Physical Therapist | 1175 E Kennedy Blvd, Apt 843, Tampa, FL 33602-3545 | 2016-09-13 |
| 1477984896 | Gulfcoast Spine Institute Pa | Physical Therapist | 6101 Webb Rd., Suite 304, Tampa, FL 33615-2866 | 2013-12-11 |
| 1659622496 | Maria Ann Silverberg | Physical Therapist | 10414 Butia Pl, Tampa, FL 33618-4118 | 2012-09-19 |
| 1215064944 | Sarah E Swigart | Physical Therapist | 17200 Commerce Park Blvd, Tampa, FL 33647-2600 | 2007-02-28 |
| 1407929359 | Sherrice Broussard Rose | Physical Therapist | 2307 S Dale Mabry Hwy Ste F, Tampa, FL 33629-6322 | 2006-11-16 |
| 1164412805 | Cynthia Goode | Physical Therapist | 2106 S Lois Ave, Tampa, FL 33629-5602 | 2005-10-25 |
| 1508856261 | David Newman | Physical Therapist | 3515 E Fletcher Ave, Mdc 90, Tampa, FL 33613-4706 | 2005-10-25 |
| 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.