MEDICARE: SPORTS AND ORTHOPEDIC REHABILITATION SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1336539030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPORTS AND ORTHOPEDIC REHABILITATION SERVICES, INC.

Provider Business Mailing Address
First Line	:	4714 GETTYSBURG RD
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-4325
Country	:	US
Telephone Number	:	717-972-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	4107 N HIMES AVE
Second Line	:	STE 100
City	:	TAMPA
State	:	FL
Zip	:	33607-6655
Country	:	US
Telephone Number	:	813-874-1009
Fax Number	:	813-872-6717

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JOHN F DUGGAN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	02/02/2015
Last Update Date	:	03/19/2026

Similar Medicare Providers

1356451207 — RODOLFO MADURO
Practice Location Address:

4107 N HIMES AVE , STE 100
TAMPA, FL
33607-6655

Practice Phone: 813-874-1009
Practice Fax:

1447458468 — DOUGLAS STEPHEN NOEL PT
Practice Location Address:

4107 N HIMES AVE , SUITE 100
TAMPA, FL
33607-6655

Practice Phone: 813-874-1009
Practice Fax: 813-872-6717

1689831646 — CHEMAINE ANNE CRANE MOTR/L, DPT
Practice Location Address:

4107 N HIMES AVE , SUITE 100
TAMPA, FL
33607-6655

Practice Phone: 904-687-4705
Practice Fax:

1780035881 — DR. ELISABETH MARIE RUSSELL PT, DPT
Practice Location Address:

4107 N HIMES AVE , STE 110
TAMPA, FL
33607-6655

Practice Phone: 813-874-1009
Practice Fax: 813-872-6717

1295287878 — CAREATC-CITY OF TAMPA POPOV
Practice Location Address:

4107 N HIMES AVE , SUITE 101
TAMPA, FL
33607-6655

Practice Phone: 800-993-8244
Practice Fax:

1659662567 — DR. HUY QUOC NGUYEN M.D.
Practice Location Address:

3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
33607-6307

Practice Phone: 813-870-4015
Practice Fax: 813-605-6269

Directions to “SPORTS AND ORTHOPEDIC REHABILITATION SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.