Spinal Health and Rehab of Punta Gorda
A Medicare group practice based in Punta Gorda, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7214053727), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7214053727
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 1
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100921001491 | FL | Part B Supplier - Clinic/Group Practice | 1184946691 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Spinal Health and Rehab of Punta Gorda
- Sports Medicine (Internal Medicine) Physician
- Punta Gorda, FL
- NPI 1184946691
-
Spinal Health and Rehab of Punta Gorda, Inc.
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Punta Gorda, FL
- NPI 1134532054
Practice locations
- Punta Gorda, FL3
- Venice, FL1
- North Port, FL1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (5).
-
Thomas M Baker
- Chiropractor
- Scotrun, PA
- NPI 1295847127
-
Ociel E Betancourt, PT, DPT
- Physical Therapist
- North Port, FL
- NPI 1942286273
-
Terry Ellis Cargile, APRN
- Nurse Practitioner
- Port Charlotte, FL
- NPI 1225323181
-
Eric Chance, D.C.
- Chiropractor
- Port Saint Lucie, FL
- NPI 1790112597
-
Edward Degon, D.C.
- Chiropractor
- Osprey, FL
- NPI 1013068477
-
Robert Allen Dolata, M.P.T.
- Physical Therapist
- Venice, FL
- NPI 1265483945
-
Lorraine Fierro, MSPT
- Physical Therapist
- Flanders, NJ
- NPI 1114984036
-
Donald E Kennedy, DO
- Family Medicine Physician
- Port Charlotte, FL
- NPI 1447233408
-
Jason Christopher Lawlor, D.C.
- Chiropractor
- Livonia, MI
- NPI 1396719522
-
Kevin Douglas Lille, PAC
- Physician Assistant
- Port Charlotte, FL
- NPI 1679588750
-
Jeffrey Gene Poirier, PT
- Physical Therapist
- Cape Coral, FL
- NPI 1174818801
-
Kevin Michael Van Nostrand, BS DC
- Chiropractor
- Punta Gorda, FL
- NPI 1801943253
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.