Sportspain & Spinal Rehab Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SPORTSPAIN & SPINAL REHAB INC.

Practice address

2500 Rhode Island Ave
Fort Pierce, FL 34947-4771

Phone

(772) 489-4001

Fax

(772) 489-8411

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mukesh D. BhattNPI 1427147222

Title

President

Phone

(772) 489-4001

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.

• Mukesh D Bhatt, MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Pierce, FL
  • NPI 1427147222
  Medicare reassignment Care Compare group Authorized official
• Hem M Bhatt, MD

  • Interventional Pain Medicine Physician
  • Palm City, FL
  • NPI 1093049579
  Medicare reassignment Care Compare group
• Monwara Hassan, M.D.

  • Specialist
  • Fort Pierce, FL
  • NPI 1265451017

  Physical Medicine & Rehabilitation

  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1134433980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30277",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334200277",
            "telephone_number": "772-489-4001",
            "fax_number": "772-489-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RHODE ISLAND AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474771",
            "telephone_number": "772-489-4001",
            "fax_number": "772-489-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSPAIN & SPINAL REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-489-4001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos David Spikes
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• Spirit of Compassion
• Patricia Helen Spisak-Dial, MSN, ARNP
• Sports Imaging Centers, LLC
• Molly Spruill, LMHC
• Colette Carol St Andre, LMHC, CAP
• St Lucie Diagnostic Center Inc
• St Lucie Emergency Group LLC
• St Lucie Eye Associates MD PA

• Physical Medicine & Rehabilitation Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.