Provider Demographics
NPI:1215686068
Name:ALL THINGS PHYSICAL
Entity type:Organization
Organization Name:ALL THINGS PHYSICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAITLIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:DELUCA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:813-466-5540
Mailing Address - Street 1:110 E MADISON ST STE 110
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4718
Mailing Address - Country:US
Mailing Address - Phone:813-466-5540
Mailing Address - Fax:813-436-5509
Practice Address - Street 1:110 E MADISON ST STE 110
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4718
Practice Address - Country:US
Practice Address - Phone:813-466-5540
Practice Address - Fax:813-436-5509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty