Functional Rehabilitation Center, LLC

Primary specialty

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

License

026430 Issued in LA

Legal business name

FUNCTIONAL REHABILITATION CENTER, LLC

Practice address

4520 Wichers Dr
Suite202
Marrero, LA 70072-3135

Phone

(504) 324-4337

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Charles E Schlosser Jr., MD,M.P.H.

Title

Owner

Phone

(504) 324-4337

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Gerard A Romaguera, MD

  • Family Medicine Physician
  • Gretna, LA
  • NPI 1770691826
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1104068576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 WICHERS DR",
            "address_2": "SUITE202",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723135",
            "telephone_number": "504-324-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 WICHERS DR",
            "address_2": "SUITE202",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723135",
            "telephone_number": "504-324-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "SCHLOSSER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-324-4337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD,M.P.H."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "026430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038067",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbie Lateria Freeman
• William Casey Frew, M.D.
• Alejandra Riera Fricke, M.D.
• Connie Frost, PT
• Shannon Fruge, M.C.D., CCC-SLP
• Lillian Claire Funke, CNM
• G. E. Behavioral Interventions
• Karlie Ragas Gagliano, MD
• Mary Mistretta Gagliano, LOTR
• Vonda Lynette Gaitor, NP

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.