Palm Coast Spine and Rehab Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PALM COAST SPINE AND REHAB INC

Doing business as

same

Practice address

2699 Lee Rd
Suite 505
Winter Park, FL 32789-1753

Phone

(407) 960-3775

Fax

(407) 960-3652

NPI assigned

May 25, 2006

Last updated

Jun 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael J Demchak, DCNPI 1659368710

Title

President

Phone

(407) 960-3775

Specialties & licenses 3

Addresses

Other names 1

• same Doing business as

Locations

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.

• Michael J Demchak, DC

  • Chiropractor
  • Winter Park, FL
  • NPI 1659368710
  Authorized official Same address or phone
• Cindy Marie Barfield, P.T.

  • Physical Therapist
  • Winter Springs, FL
  • NPI 1760668453
  NPD (past)
• Johnny Thomas, M.D.

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1588774970
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1194771808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 LEE RD",
            "address_2": "SUITE 505",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891753",
            "telephone_number": "407-960-3775",
            "fax_number": "407-960-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 LEE RD",
            "address_2": "SUITE 505",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891753",
            "telephone_number": "407-960-3775",
            "fax_number": "407-960-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COAST SPINE AND REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "DEMCHAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-960-3775",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pain Medicine Specialists Inc
• Elizabeth Rose Pain, ARNP
• Paladin Chiropractic Inc
• Derrick Adam Paladino, PH.D, LMHC, LPC, NCC
• Dimitry Michael Palceski, D.O.
• Barbara Palma, LMFT
• Marni Hope Palma, PA
• Palmer Chiropractic and Wellness
• Palmer Oaks, LLC
• Ashley M Palmer, BCBA

• Pain Medicine Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.