Tampa Bay Physical Therapy, Llc | |
13328 Telecom Dr Temple Terrace FL 33637-0938 | |
(352) 426-1751 | |
Not Available |
Full Name | Tampa Bay Physical Therapy, Llc |
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Speciality | Clinic/Center |
Location | 13328 Telecom Dr, Temple Terrace, Florida |
Authorized Official Name and Position | Kelly Brooke Pearce Baez (PHYSICAL THERAPIST) |
Authorized Official Contact | 3524261751 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tampa Bay Physical Therapy, Llc 20110 Blue Daze Ave Tampa FL 33647-2965 Ph: (352) 426-1751 | Tampa Bay Physical Therapy, Llc 13328 Telecom Dr Temple Terrace FL 33637-0938 Ph: (352) 426-1751 |
NPI Number | 1841966520 |
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Provider Enumeration Date | 08/21/2021 |
Last Update Date | 05/02/2022 |
Medicare PECOS PAC ID | 8921405887 |
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Medicare Enrollment ID | O20210921001213 |
Identifier | Type | State | Issuer |
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1841966520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Kelly Brooke Pearce Baez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225706815 PECOS PAC ID: 1658778519 Enrollment ID: I20211118002992 |
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