# CPT101, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CPT, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366941585
- **Authorized official:** MS. TAMIKA LAUNYAE GRUBBS RN (NURSE LIAISON)
- **Authorized official phone:** (407) 730-0795

## Contact information

- **Practice address:** 6638 CENTRAL AVE, SAINT PETERSBURG, FL 33707
- **Practice address phone:** (877) 848-9092
- **Practice address fax:** (888) 350-0447
- **Mailing address:** 6638 CENTRAL AVE, SAINT PETERSBURG, FL 33707-1331
- **Mailing address phone:** (877) 848-9092
- **Mailing address fax:** (888) 350-0447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2279E1000X | Educational Registered Respiratory Therapist | — | NULL | — |
| 2279E1000X | Educational Registered Respiratory Therapist | — | — | — |
| 2279H0200X | Home Health Registered Respiratory Therapist | — | NULL | Yes |
| 2279H0200X | Home Health Registered Respiratory Therapist | — | — | Yes |
| 2279P1005X | Pulmonary Rehabilitation Registered Respiratory Therapist | — | NULL | — |
| 2279P1005X | Pulmonary Rehabilitation Registered Respiratory Therapist | — | — | — |
| 251E00000X | Home Health Agency | — | FL | — |

## Other

- **Enumeration date:** 02/02/2018
- **Last updated:** 08/22/2018
