NPIMap

Organization Active NPI

Pain & Rehab Center Inc

  • Physical Therapist
  • Estero, FL
National Provider Identifier
1174747489
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 7247 Issued in FL
Legal business name
PAIN & REHAB CENTER INC
Practice address
21301 S Tamiami TRL Ste 130
Estero, FL 33928-2943
Phone
(239) 947-5616
Fax
(239) 947-9606
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Maria T Yuvienco, RPT
Title
President
Phone
(239) 645-6295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT 7247 FL Primary

Addresses

Primary practice location

21301 S Tamiami TRL Ste 130
Estero, FL 33928-2943

Mailing address

PO Box 60051
Fort Myers, FL 33906-6051
Phone (239) 645-6295

National Provider Directory

National Provider Directory

Locations

3015 SW Pine Island Rd
Ste 104
Cape Coral, FL 33991
Phone (239) 282-1680

3306 Del Prado Blvd S
#8
Cape Coral, FL 33904
Phone (239) 549-5585

3046 Del Prado Blvd S
Ste 2A
Cape Coral, FL 33904
Phone (239) 549-5585

21301 S Tamiami Trl
Ste 130
Estero, FL 33928
Phone (239) 645-6295

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1174747489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60051",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339066051",
            "telephone_number": "239-645-6295",
            "fax_number": "239-549-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 S TAMIAMI TRL STE 130",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339282943",
            "telephone_number": "239-947-5616",
            "fax_number": "239-947-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "YUVIENCO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-645-6295",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 7247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.