Active NPI
NRV Enterprises Inc
- Rehabilitation Clinic/Center
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Noster R Villamor
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Sebring, FL
- NPI 1518990753
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.
-
- Physical Medicine & Rehabilitation Physician
- Lake Placid, FL
- NPI 1952634461
-
- Physical Therapist
- Melbourne, FL
- NPI 1194924506
-
- Physical Therapist
- Jacksonville, FL
- NPI 1134371727
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.