SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC (NPI# 1932109071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932109071 |
| Entity Type | Organization |
| Organization Name | SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC |
| Practice Address |
3488 E Lake Rd Suite 301 Palm Harbor FL 34685-2404 |
| Mailing Address |
4714 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7277861996 |
| Practice Fax Number | 7277892111 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2017-08-08 |
| Authorized Official Name | MR. MICHAEL E. TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265724173 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 19417 Shumard Oak Dr, Land O Lakes, FL 34638-7262 | 2011-05-11 |
| 1972756641 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 22415 Us Highway 27, Lake Wales, FL 33859-6861 | 2008-10-28 |
| 1770767899 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 5907 Argerian Dr, Suite 101 and 102, Wesley Chapel, FL 33545-4237 | 2007-12-26 |
| 1972646396 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 1701 Park Center Dr, Suite 203, Orlando, FL 32835-6235 | 2007-02-15 |
| 1639223597 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 6474 Ridge Rd, Port Richey, FL 34668-6748 | 2007-01-22 |
| 1598819401 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 1499 6th St Nw, Winter Haven, FL 33881-2365 | 2007-01-22 |
| 1720132616 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 4655 66th St N, Number 22b, Kenneth City, FL 33709-4827 | 2007-01-22 |
| 1467505370 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 116 N Kings Ave, Brandon, FL 33510-4302 | 2007-01-22 |
| 1306999263 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 31964 Us 19 North, Palm Harbor, FL 34684 | 2007-01-22 |
| 1922152875 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 922 S Missouri Ave, Clearwater, FL 33756-4298 | 2007-01-22 |
| Street Address |
3488 E LAKE RD SUITE 301 |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34685-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634716 | Peter John Albano | Physical Therapist | 3488 E Lake Rd, Palm Harbor, FL 34685-2404 | 2020-03-12 |
| 1902343890 | Jean Marie Lari | Occupational Therapist | 3488 E Lake Rd, Palm Harbor, FL 34685-2404 | 2017-01-30 |
| 1407233521 | James May | Specialist/Technologist | 3488 E Lake Rd, Palm Harbor, FL 34685-2404 | 2015-04-27 |
| 1407141310 | Amanda Marie Rose | Physical Therapist | 3488 E Lake Rd, Suite 302, Palm Harbor, FL 34685-2404 | 2011-06-20 |
| 1326275470 | Michael Paul Marshall | Physical Therapist | 3488 E Lake Rd, Suite 302, Palm Harbor, FL 34685-2404 | 2009-06-16 |
| 1598887150 | Mayur Jayantilal Mehta | Dentist | 3488 E Lake Rd, Suite 401, Palm Harbor, FL 34685-2404 | 2007-04-04 |
| 1467561175 | Darren Joseph Bloebaum | Physical Therapist | 3488 E Lake Rd, Suite 302, Palm Harbor, FL 34685-2404 | 2006-08-29 |
| 1811925340 | Blaire Amanda Arnold | Physical Therapist | 3488 E Lake Rd, Suite 302, Palm Harbor, FL 34685-2404 | 2006-06-30 |
| 1881639086 | Donna Jean Nothdurft | Occupational Therapist | 3488 E Lake Rd, Suite 302, Palm Harbor, FL 34685-2404 | 2006-06-19 |
| 1235171992 | Melissa Joann Riba | Physical Therapist | 3488 E Lake Rd, Suite 302, Palm Harbor, FL 34685-2404 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663376 | Laura Ashley Birch Williams | Physical Therapy Assistant | 4168 Woodlands Pkwy # A, Palm Harbor, FL 34685 | 2020-09-08 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1093277162 | Raza Zaidi | Student in an Organized Health Care Education/Training Program | 3818 Ambassador Dr, Palm Harbor, FL 34685 | 2019-04-05 |
| 1366965063 | Crestar Labs Fl LLC | Clinical Medical Laboratory | 4714 Ayron Terrace, Palm Harbor, FL 34685 | 2017-07-25 |
| 1497284038 | Jacquelle Davis | Social Worker | 1261 Bay Harbor Dr Apt 201, Palm Harbor, FL 34685 | 2017-06-07 |
| 1649693888 | Marliss Rae Jones | Social Worker | 1107 Mainsail Circle, Palm Harbor, FL 34685 | 2014-01-23 |
| 1427489152 | Best At Home Care LLC | In Home Supportive Care | 1801 East Lake Rd, #3a, Palm Harbor, FL 34685 | 2013-12-05 |
| 1457622292 | Dennis Hamilton | Pharmacist | 3420 East Lake Rd, Palm Harbor, FL 34685 | 2012-01-25 |
| 1275770448 | Amy Beach Harcourt | Physical Therapist | 3488 East Lake Rd, Suite 302, Palm Harbor, FL 34685 | 2009-01-09 |
| 1225223589 | Carolyn Kim Puckett | Physical Therapist | 800 Tarpon Woods Blvd., Suite F1, Palm Harbor, FL 34685 | 2007-09-10 |
| Find all providers in zip 34685 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669980983 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 900 West Lake Road, Palm Harbor, FL 34684-3142 | 2018-01-22 |
| 1457750259 | I Rehab Now LLC | Clinic/Center | 31608 Us 19, Palm Harbor, FL 34684 | 2014-08-18 |
| 1770872509 | Impact Health and Performance, LLC | Clinic/Center | 180 Alt 19n, Suite B, Palm Harbor, FL 34683-5308 | 2011-04-01 |
| 1184750374 | Bask Rehabilitation LLC | Clinic/Center | 1114 Florida Ave Ste C, Palm Harbor, FL 34683-4331 | 2007-02-24 |
| 1306999263 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 31964 Us 19 North, Palm Harbor, FL 34684 | 2007-01-22 |
| 1033619846 | St Mark Village Inc | Clinic/Center | 2655 Nebraska Ave, Palm Harbor, FL 34684-2630 | 2018-02-19 |
| 1730372137 | Bask Rehabilitation Services, Inc. | Clinic/Center | 1114 Florida Ave, Suite C, Palm Harbor, FL 34683-4331 | 2007-08-20 |
| 1922190792 | Regional Rehabilitation Services Pa | Clinic/Center | 4705 Alt 19, Suite A, Palm Harbor, FL 34683-1440 | 2006-09-29 |
| 1437264520 | Performance Rehab Institute & Sports Medicine, Inc. | Clinic/Center | 3450 E Lake Rd, Suite 101, Palm Harbor, FL 34685-2411 | 2006-08-20 |
| 1306851001 | Atlas Physical Therapy Inc. | Clinic/Center | 2626 Tampa Rd, Suite-203a, Palm Harbor, FL 34684-3155 | 2006-07-30 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34685 |
Please comment or provide details below to improve the information on SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC.
| 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.