Organization Active NPI

Sports & Spine Medical Rehabilitation PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Orlando, FL
National Provider Identifier
1134584741
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
SPORTS & SPINE MEDICAL REHABILITATION PLLC
Practice address
9239 Bayway Dr
Orlando, FL 32819-4087
Phone
(310) 967-9366
NPI assigned
Dec 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2015

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

Authorized official

Name
Diana Hussain, M.D.
Title
President and Founder
Phone
(310) 967-9366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

9239 Bayway Dr
Orlando, FL 32819-4087

Mailing address

9239 Bayway Dr
Orlando, FL 32819-4087
Phone (310) 967-9366

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450915200000",
    "number": "1134584741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 BAYWAY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194087",
            "telephone_number": "310-967-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 BAYWAY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194087",
            "telephone_number": "310-967-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS & SPINE MEDICAL REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-24",
        "last_updated": "2015-12-24",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT AND FOUNDER",
        "authorized_official_telephone_number": "310-967-9366",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; 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.