FOOTPRINTS BEACHSIDE RECOVERY INC
NPI 1487002457
Clinic/Center - Rehabilitation, Substance Use Disorder in Treasure Island, FL
About Footprints Beachside Recovery Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOOTPRINTS BEACHSIDE RECOVERY INC (NPI 1487002457) is a healthcare organization registered as a rehabilitation, substance use disorder in Treasure Island, Florida and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Nicola Rajaram, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2067723
Footprints Beachside Recovery · Treasure Island, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TREASURE ISLAND, FL 33706
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Footprints Beachside Recovery Inc's NPI number?
The NPI number for Footprints Beachside Recovery Inc is 1487002457. It was assigned to this organization in the NPPES registry on May 31, 2016.
Where is Footprints Beachside Recovery Inc located?
Footprints Beachside Recovery Inc is located at 151 107th Ave Suite 13, Treasure Island, FL 33706. The listed phone number is (727) 954-3908.
What is Footprints Beachside Recovery Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Footprints Beachside Recovery Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2067723) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Footprints Beachside Recovery Inc was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Footprints Beachside Recovery Inc · NPI 1487002457
Rehabilitation, Substance Use Disorder organization in Treasure Island, Florida. Organization record, active in the CMS NPPES registry since May 31, 2016.
## Identity
- **NPI:** 1487002457 (Entity type: Organization)
- **Enumerated:** May 31, 2016
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Nicola Rajaram, BILLING MANAGER
## Practice location
- **Address:** 151 107TH AVE, SUITE 13, Treasure Island, FL 33706-4734
- **Phone:** (727) 954-3908
## Record status
- **NPPES last updated:** May 31, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487002457) · Data from the CMS NPPES public registry.