Organization Active NPI

Integrated Rehabilitation Adult and Pediatrics LLC

  • Physical Medicine & Rehabilitation Physician
  • Vero Beach, FL
National Provider Identifier
1114701521
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
INTEGRATED REHABILITATION ADULT AND PEDIATRICS LLC
Practice address
1600 37TH St
Vero Beach, FL 32960-4863
Phone
(772) 778-2100
Fax
(772) 562-9763
NPI assigned
Aug 24, 2023
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Seema Khurana, DONPI 1659470458
Title
Owner
Phone
(734) 818-5438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1600 37TH St
Vero Beach, FL 32960-4863

Mailing address

2046 Treasure Coast Plaza Ste a # 234
Vero Beach, FL 32960
Phone (734) 818-5438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230920001007 FL Part B Supplier - Clinic/Group Practice 7911361209 Receives reassigned benefits from 3 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

2046 Treasure Coast Plz
Vero Beach, FL 32960

2046 Treasure Coast Plz
Ste A
Vero Beach, FL 32960

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1114701521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 TREASURE COAST PLAZA STE A # 234",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "734-818-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 37TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604863",
            "telephone_number": "772-778-2100",
            "fax_number": "772-562-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED REHABILITATION ADULT AND PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-818-5438",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.