Provider Demographics
NPI:1265039952
Name:ASPI THERAPY TAMPA LLC
Entity Type:Organization
Organization Name:ASPI THERAPY TAMPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLYMCZUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-909-5855
Mailing Address - Street 1:5850 W CYPRESS ST STE B
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1738
Mailing Address - Country:US
Mailing Address - Phone:813-673-8888
Mailing Address - Fax:
Practice Address - Street 1:5850 W CYPRESS ST STE B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1738
Practice Address - Country:US
Practice Address - Phone:813-673-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy