Pinellas Physiatry Associates PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PINELLAS PHYSIATRY ASSOCIATES PA

Practice address

4400 140TH Ave N
Suite 110
Clearwater, FL 33762-3832

Phone

(727) 327-2600

Fax

(727) 327-2644

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Douglas E Freeman

Title

Manager

Phone

(727) 327-2600

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CACCAA

Practitioners 4

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

• Kevin D. Creed, MD

  • Physical Medicine & Rehabilitation Physician
  • Clearwater, FL
  • NPI 1285831198
  Medicare reassignment Care Compare group NPD
• Annette Eichenbaum, DO

  • Physical Medicine & Rehabilitation Physician
  • Clearwater, FL
  • NPI 1306099387
  Medicare reassignment Care Compare group NPD
• Marc Alan Reiskind, MD

  • Physical Medicine & Rehabilitation Physician
  • Clearwater, FL
  • NPI 1306822614
  Medicare reassignment Care Compare group NPD
• Caroline Pamela Potter, LMT

  • Massage Therapist
  • Saint Petersburg, FL
  • NPI 1104153758
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1316098239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100267",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840267",
            "telephone_number": "727-327-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 140TH AVE N",
            "address_2": "SUITE 110",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623832",
            "telephone_number": "727-327-2600",
            "fax_number": "727-327-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELLAS PHYSIATRY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-327-2600"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1477097",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2557884",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252977700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinellas County Sheriff'S Office
• Pinellas Dental Arts
• Pinellas Education Organization, Inc.
• Pinellas Ekg Interpreters Inc
• Pinellas Infectious Disease Physicians PA
• Pinellas Professional Home Care,Inc.
• Pinellas Radiation Oncology Associates
• Pinellas Therapy LLC
• Pinellaspediatrics
• Kerri Piniero, MASTERS

• Physical Medicine & Rehabilitation Physician in Clearwater, FL
• Providers in Clearwater, 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 Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.