Active NPI
Physicians of Rehab Services LLC
- Physical Medicine & Rehabilitation Physician
- Pinellas Park, FL
National Provider Identifier
1407228539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS12890
- Legal business name
- PHYSICIANS OF REHAB SERVICES LLC
- Practice address
- 3105 Grand Ave Apt 401
Pinellas Park, FL 33782-6107 - Phone
- (608) 216-4474
- NPI assigned
- Oct 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandra Sandhu, D.O.
- Title
- Osteopathis Physician
- Phone
- (561) 926-5482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS12890 | FL | Primary |
Addresses
Primary practice location
3105 Grand Ave Apt 401
Pinellas Park, FL 33782-6107
Mailing address
3105 Grand Ave Apt 401
Pinellas Park, FL 33782-6107
Phone (561) 926-5482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS12890 | Other | FL | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1407228539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 GRAND AVE APT 401",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337826107",
"telephone_number": "561-926-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 GRAND AVE APT 401",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337826107",
"telephone_number": "608-216-4474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS OF REHAB SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-28",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "SANDHU",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OSTEOPATHIS PHYSICIAN",
"authorized_official_telephone_number": "561-926-5482",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "OS12890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "OS12890",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.