Spinal Health and Rehab of Punta Gorda, Inc.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

ME 102997 Issued in FL

Legal business name

SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC.

Practice address

324 Cross St
Punta Gorda, FL 33950-4828

Phone

(941) 205-2180

Fax

(941) 205-2181

NPI assigned

Jun 9, 2014

Organization subpart

Yes

Parent organization

SPINAL HEALTH AND REHAB OF PUNTA GORDA, INCAs reported in NPPES

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

Authorized official

Name

Kevin Van Nostrand, D.C.NPI 1801943253

Title

Owner/Operator

Phone

(941) 258-1965

Specialties & licenses 2

Addresses

Other names 1

• Spinal Health Integrative Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Spinal Health and Rehab of Punta Gorda

  • Sports Medicine (Internal Medicine) Physician
  • Punta Gorda, FL
  • NPI 1184946691

  O20100921001491

  Same enrollment

Part of

Spinal Health and Rehab

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Spinal Health and Rehab of Punta Gorda

  • Sports Medicine (Internal Medicine) Physician
  • Punta Gorda, FL
  • NPI 1184946691
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Michael Van Nostrand, BS DC

  • Chiropractor
  • Punta Gorda, FL
  • NPI 1801943253
  NPD Authorized official
• Edward Degon, D.C.

  • Chiropractor
  • Osprey, FL
  • NPI 1013068477
  NPD

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1134532054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 CROSS ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504828",
            "telephone_number": "941-205-2180",
            "fax_number": "941-205-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 CROSS ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504828",
            "telephone_number": "941-205-2180",
            "fax_number": "941-205-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "VAN NOSTRAND",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "941-258-1965",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "ME 102997",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 18108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Health Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spago Medispa LLC
• Richelle Spears, LMT
• Sharon L Spencer, CRNA
• Spinal Health and Rehab
• Spinal Health and Rehab of Punta Gorda
• Spinal Integrated Medicine, LLC
• Spirit Homecare, LLC
• Mary Spremulli, CCC-SLP
• Samantha Jo St John
• Darlene Gail St Pierre, R.D., L.D.

• All providers in Punta Gorda, FL
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.