Organization Active NPI

Spine Rehabilitation Associates Inc

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1437699485
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPINE REHABILITATION ASSOCIATES INC
Practice address
2401 University Pkwy
Suite 106
Sarasota, FL 34243-2893
Phone
(941) 923-0999
Fax
(941) 923-0090
NPI assigned
Feb 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Edwin Detweiler
Title
Owner
Phone
(941) 923-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2401 University Pkwy
Suite 106
Sarasota, FL 34243-2893

Mailing address

2401 University Pkwy
Suite 106
Sarasota, FL 34243-2893
Phone (941) 923-0999

National Provider Directory

National Provider Directory

Locations

2401 University Pkwy
Ste 106
Sarasota, FL 34243
Phone (941) 355-4411

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1437699485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY",
            "address_2": "SUITE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432893",
            "telephone_number": "941-923-0999",
            "fax_number": "941-923-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY",
            "address_2": "SUITE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432893",
            "telephone_number": "941-923-0999",
            "fax_number": "941-923-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE REHABILITATION ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "DETWEILER",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-923-0999"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.