Organization Active NPI

Tallahassee Medical Rehab Inc

  • Physical Medicine & Rehabilitation Physician
  • Sanford, FL
National Provider Identifier
1417243122
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TALLAHASSEE MEDICAL REHAB INC
Practice address
5222 Piper Lane
Sanford, FL 32771
Phone
(321) 363-4409
Fax
(321) 363-4781
NPI assigned
Jun 21, 2011
Organization subpart
Yes
Parent organization
TALLAHASSEE MEDICAL REHAB INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Jamuna Sivakanthan, M.D.
Title
President
Phone
(850) 656-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

5222 Piper Lane
Sanford, FL 32771

Mailing address

5222 Piper Lane
Sanford, FL 32771
Phone (321) 363-4409

National Provider Directory

National Provider Directory
Part of
Tallahassee Medical Rehab

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1417243122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 PIPER LANE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "321-363-4409",
            "fax_number": "321-363-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 PIPER LANE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "321-363-4409",
            "fax_number": "321-363-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE MEDICAL REHAB INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TALLAHASSEE MEDICAL REHAB INC",
        "enumeration_date": "2011-06-21",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "SIVAKANTHAN",
        "authorized_official_first_name": "JAMUNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-656-4800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.