Organization Active NPI

Florida Rehabilitation Associates PLLC

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
National Provider Identifier
1104881291
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME93615 Issued in FL
Legal business name
FLORIDA REHABILITATION ASSOCIATES PLLC
Practice address
1910 Robinhood St
Sarasota, FL 34231-3620
Phone
(941) 371-2255
Fax
(941) 343-2822
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. Emese Simon, M.D.
Title
Owner
Phone
(941) 371-2255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME25334 FL
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X ME93615 FL Primary

Addresses

Primary practice location

1910 Robinhood St
Sarasota, FL 34231-3620

Mailing address

1910 Robinhood St
Sarasota, FL 34231-3620
Phone (941) 371-2255

Other identifiers 2

IdentifierTypeStateIssuer
DE7258OtherFLMCR RR
274681600MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1104881291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ROBINHOOD ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313620",
            "telephone_number": "941-371-2255",
            "fax_number": "941-343-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ROBINHOOD ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313620",
            "telephone_number": "941-371-2255",
            "fax_number": "941-343-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA REHABILITATION ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "EMESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-371-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME25334",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME93615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RR",
            "identifier": "DE7258",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274681600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.