# TAMPA BAY PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841966520
- **Authorized official:** KELLY BROOKE PEARCE BAEZ PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (352) 426-1751

## Contact information

- **Practice address:** 13328 TELECOM DR, TEMPLE TERRACE, FL 33637-0938
- **Practice address phone:** (352) 426-1751
- **Mailing address:** 20110 BLUE DAZE AVE, TAMPA, FL 33647-2965
- **Mailing address phone:** (352) 426-1751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2021
- **Last updated:** 05/02/2022