Center for Back Pain Management Inc

Primary specialty

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

Legal business name

CENTER FOR BACK PAIN MANAGEMENT INC

Practice address

8188 Jog Rd
Suite 102
Boynton Beach, FL 33437-2952

Phone

(561) 737-1947

Fax

(561) 737-9074

NPI assigned

Oct 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fernando Rennella, M.D.NPI 1912951591

Title

Owner

Phone

(561) 737-1947

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fernando Rennella, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Boynton Beach, FL
  • NPI 1912951591
  Medicare reassignment NPD Authorized official
• Stephen Cosentino, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Lauderdale, FL
  • NPI 1861432791
  NPD (past)
• Angelo Locastro, PT

  • Physical Therapist
  • Delray Beach, FL
  • NPI 1780608810
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114003845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8188 JOG RD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372952",
            "telephone_number": "561-737-1947",
            "fax_number": "561-737-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8188 JOG RD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372952",
            "telephone_number": "561-737-1947",
            "fax_number": "561-737-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BACK PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENNELLA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-737-1947",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Cattoor, DO, MS
• Kyra Jane Warren Cavallo, DPT
• Claudia Cedeno
• Guerry Cenord, MD
• Sidney Johanna Centeno, LIFESTYLE COACH
• Center for Balance, Dizziness and Physical Therapy LLC
• Centerhills Enterprises LLC (Your Life Recovery Center)
• Centerhills Enterprises LLC (Your Life Recovery Center)
• Dayelis Cepero Roque
• Certified Foot & Ankle Specialists

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Boynton Beach, FL
• Providers in Boynton Beach, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.