Provider Demographics
NPI:1134674575
Name:WEST BAY THERAPY
Entity Type:Organization
Organization Name:WEST BAY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSEWEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-585-3000
Mailing Address - Street 1:118 W BAY DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3362
Mailing Address - Country:US
Mailing Address - Phone:727-585-3000
Mailing Address - Fax:727-585-3001
Practice Address - Street 1:118 W BAY DR
Practice Address - Street 2:SUITE 111
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3362
Practice Address - Country:US
Practice Address - Phone:727-585-3000
Practice Address - Fax:727-585-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy