Provider Demographics
NPI:1942737747
Name:SEATING SPECIALIST
Entity Type:Organization
Organization Name:SEATING SPECIALIST
Other - Org Name:SEATING SPECIALIST LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:POTTER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, ATP/SMS
Authorized Official - Phone:305-801-8813
Mailing Address - Street 1:801 W AZEELE ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2273
Mailing Address - Country:US
Mailing Address - Phone:813-501-3035
Mailing Address - Fax:
Practice Address - Street 1:801 W AZEELE ST UNIT 2
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2273
Practice Address - Country:US
Practice Address - Phone:813-501-3035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251H1300X
FLPT 22598261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251H1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHuman FactorsGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty