Physical Medicine & Rehab Consultants LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

PHYSICAL MEDICINE & REHAB CONSULTANTS LLC

Doing business as

RegenMed of Florida

Practice address

2202 Duck Slough Blvd Ste 102
Trinity, FL 34655-5071

Phone

(813) 459-7711

Fax

(813) 235-4175

NPI assigned

Aug 13, 2018

Organization subpart

No

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

Authorized official

Name

J David Barr, PA

Title

Owner

Phone

(813) 459-7711

Specialties & licenses 1

Addresses

Other names 1

• RegenMed of Florida Doing business as

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1063991875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16734 IVY LAKE DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335566020",
            "telephone_number": "813-459-7711",
            "fax_number": "813-235-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 DUCK SLOUGH BLVD STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555071",
            "telephone_number": "813-459-7711",
            "fax_number": "813-235-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & REHAB CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "J DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-459-7711",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RegenMed of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill A Petersen, PT
• Phamhasell PA (The Pediatric Specialists Medical Group)
• An Phan
• Jillian Phillips
• Phoenix Regenerative Medicine Solutions, LLC
• David Christopher Pielak, D.D.S
• Schiley Pierre Louis, DO
• John Peter Pilarczyk, DVM
• Alisha Faye Pineiro, D.O.
• Ramya Pinnamaneni, M.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Trinity, FL
• Providers in Trinity, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.