Provider Demographics
NPI:1760806517
Name:MAGEE HEALTHCARE LLC
Entity Type:Organization
Organization Name:MAGEE HEALTHCARE LLC
Other - Org Name:WESTCHASE PHYSICAL THERAPY AND BACK PAIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-343-3960
Mailing Address - Street 1:12625 RACE TRACK RD
Mailing Address - Street 2:WESTCHASE
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1331
Mailing Address - Country:US
Mailing Address - Phone:813-343-3960
Mailing Address - Fax:813-343-3965
Practice Address - Street 1:12625 RACE TRACK RD
Practice Address - Street 2:WESTCHASE
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1331
Practice Address - Country:US
Practice Address - Phone:813-343-3960
Practice Address - Fax:813-343-3965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21841261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy