Organization Active NPI

NRV Enterprises Inc

  • Rehabilitation Clinic/Center
  • Sebring, FL
National Provider Identifier
1003094202
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
NRV ENTERPRISES INC
Practice address
4141 Sun N Lake Blvd
Sebring, FL 33872-2131
Phone
(863) 385-6119
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Noster R VillamorNPI 1952634461
Title
Administrator
Phone
(863) 465-4412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

4141 Sun N Lake Blvd
Sebring, FL 33872-2131

Mailing address

4141 Sun N Lake Blvd
Sebring, FL 33872-2131
Phone (863) 385-6119

Other names 1

  • Functional Rehab Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060221000250 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6800801382 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sebring, FL

Outpatient physical therapy / speech pathology certification: CCN 106953

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FUNCTIONAL REHAB CENTER
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Sep 4, 1996
Last certification
Jun 16, 2022
Ownership / control type
Proprietary
Facility address
4141 Sun N Lake Blvd
Sebring, FL 33872

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Functional Rehab Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

780 SE 5th Ter
Crystal River, FL 34429
Phone (352) 527-8739

203 US Highway 27 S
Lake Placid, FL 33852
Phone (941) 465-4412

1747 Evans Rd
Ste 102
Melbourne, FL 32904
Phone (321) 675-9659

2906 Kenilworth Blvd
Sebring, FL 33870
Phone (863) 385-3862

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1003094202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722131",
            "telephone_number": "863-385-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722131",
            "telephone_number": "863-385-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRV ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "VILLAMOR",
        "authorized_official_first_name": "NOSTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-465-4412",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.