Active NPI
Knee Rejuvenation Group of Florida
- Physical Medicine & Rehabilitation Physician
- Pensacola, FL
National Provider Identifier
1104546241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- KNEE REJUVENATION GROUP OF FLORIDA
- Practice address
- 2114 Airport Blvd Ste 1500
Pensacola, FL 32504-5910 - Phone
- (850) 979-5633
- NPI assigned
- Aug 30, 2022
- 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
- Stephen Krause
- Title
- Owner
- Phone
- (850) 979-5633
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Rehabilitation Practitioner | 225400000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2114 Airport Blvd Ste 1500
Pensacola, FL 32504-5910
Mailing address
2114 Airport Blvd Ste 1500
Pensacola, FL 32504-5910
Phone (850) 979-5633
National Provider Directory
National Provider DirectoryLocations
2114 Airport Blvd
Ste 1500
Pensacola, FL 32504
Phone (850) 969-2340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683504000000",
"number": "1104546241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 AIRPORT BLVD STE 1500",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045910",
"telephone_number": "850-979-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 AIRPORT BLVD STE 1500",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045910",
"telephone_number": "850-979-5633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNEE REJUVENATION GROUP OF FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-30",
"last_updated": "2023-05-08",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "KRAUSE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-979-5633"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.