DR. JODY CARL ANDERSEN (NPI# 1144293408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144293408 |
| Entity Type | Individual |
| Full Name | DR. JODY CARL ANDERSEN |
| Credential | ATC, PT |
| Practice Address |
401 W Kennedy Blvd Box 30f Tampa FL 33606-1450 |
| Practice Telephone | 8132573162 |
| Practice Fax Number | 8132587482 |
| Mailing Telephone | 8132573162 |
| Mailing Fax Number | 8132587482 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2014-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT 20698 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 1654 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
401 W KENNEDY BLVD BOX 30F |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861470270 | Kim Curry | Nurse Practitioner | 401 W Kennedy Blvd, Tampa, FL 33606-1450 | 2006-01-05 |
| 1265902100 | Breanna Eve Taphouse | Specialist/Technologist | 401 W Kennedy Blvd, Tampa, FL 33606-1450 | 2018-12-04 |
| 1811467988 | Zachary Damon Farias | Specialist/Technologist | 401 W Kennedy Blvd, Tampa, FL 33606-1450 | 2018-11-30 |
| 1063981751 | Emily Miller | Specialist/Technologist | 401 W Kennedy Blvd, Tampa, FL 33606-1490 | 2018-11-25 |
| 1982173621 | Ricky Rodriguez | Specialist/Technologist | 401 W Kennedy Blvd, Tampa, FL 33606-1450 | 2018-11-23 |
| 1225507130 | Hayley Reyes | Specialist/Technologist | 401 W Kennedy Blvd, Tampa, FL 33606-1450 | 2018-11-20 |
| 1689143679 | Taylor Caruso | Specialist/Technologist | 401 W Kennedy Blvd, Tampa, FL 33606-1450 | 2018-11-19 |
| 1124597596 | Mia Pagano | Specialist/Technologist | 401 W Kennedy Blvd, Tampa, FL 33606-1490 | 2018-11-15 |
| 1407325848 | Brianna Lynn Rosa | Student in an Organized Health Care Education/Training Program | 401 W Kennedy Blvd, Tampa, FL 33606-1450 | 2018-11-14 |
| 1093280380 | Kevin Hartzog Jr. | Nurse Practitioner | 401 W Kennedy Blvd, Tampa, FL 33606-1450 | 2018-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209205 | Jack Malafronte | Physical Therapist | 2221 S Dale Mabry Hwy, Tampa, FL 33629-6313 | 2018-09-25 |
| 1134643356 | Thomas Mulligan | Physical Therapist | 401 Channelside Dr, Tampa, FL 33602-5400 | 2017-07-29 |
| 1508348640 | James Francis Haughney IIi | Physical Therapist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611-1404 | 2018-09-05 |
| 1750809448 | Brian Paul Broussard | Physical Therapist | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 | 2017-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538721907 | Revolution Sports and Performance LLC | Physical Therapist | 27774 Autumn Breeze Cir, Wesley Chapel, FL 33544-7839 | 2019-07-05 |
| 1790242105 | Ignacio Ray Barajas | Physical Therapist | 11723 Gulf Beach Hwy, Pensacola, FL 32507-9143 | 2019-02-22 |
| 1679041081 | Mauricio Elizondo | Physical Therapist | 201 Atp Tour Blvd, Ponte Vedra Beach, FL 32082-3211 | 2018-11-05 |
| 1881109791 | Michael R Preciados | Physical Therapist | 2999 Ne 191st St Ste 230, Aventura, FL 33180-3115 | 2017-12-14 |
| 1467970277 | Naples Premier Physical Therapy Inc | Physical Therapist | 3940 Prospect Ave Ste 103, Naples, FL 34104-3745 | 2017-08-31 |
| 1962952333 | Jordan Clayborne | Physical Therapist | 4747 N Ocean Dr Ste 261, Lauderdale By The Sea, FL 33308-2956 | 2016-10-10 |
| 1043764483 | Tonny Vandehee | Physical Therapist | 3264 Pacific Dr, Naples, FL 34119-8672 | 2016-08-14 |
| 1861848517 | Physioworks of Miami | Physical Therapist | 3617 E Sandpiper Dr, #5, Boynton Beach, FL 33436-2463 | 2016-05-12 |
| 1538433552 | Physical Therapy & Sports Rehab LLC | Physical Therapist | 1290 Old Congress Ave., West Palm Beach, FL 33409 | 2012-03-08 |
| 1881829240 | Jeremy M Martin | Physical Therapist | 4767 Drane Field Rd, Lakeland, FL 33811-1220 | 2009-05-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.