Island Coast Pain & Rehabilitation Associates, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ISLAND COAST PAIN & REHABILITATION ASSOCIATES, INC.

Practice address

1404 Del Prado Blvd S
Suite 110
Cape Coral, FL 33990-3789

Phone

(239) 772-3232

Fax

(239) 458-3272

NPI assigned

Apr 18, 2006

Last updated

Apr 11, 2012By 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

Ms. Judy J Crawford

Title

Office Manager

Phone

(239) 772-3232

Specialties & licenses 2

Addresses

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.

• Walter B Flesner III, D.O.

  • Family Medicine Physician
  • Cape Coral, FL
  • NPI 1922063742
  NPD (past)
• Mark A Smith, D.C.

  • Chiropractor
  • Cape Coral, FL
  • NPI 1255396990
  NPD (past)
• Brian Edward Reynolds, DO

  • Family Medicine Physician
  • Harlem, MT
  • NPI 1407810963
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1457316275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 DEL PRADO BLVD S",
            "address_2": "SUITE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903789",
            "telephone_number": "239-772-3232",
            "fax_number": "239-458-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 DEL PRADO BLVD S",
            "address_2": "SUITE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903789",
            "telephone_number": "239-772-3232",
            "fax_number": "239-458-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND COAST PAIN & REHABILITATION ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-772-3232",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoel Iribarnegaray
• Tia Irminger, AUTONOMOUS APRN
• Isla Azul Senior Transport Corp (NEMT(Non Emergency Medical Transport))
• Island Coast O & P (Island Coast Orthopedics, Inc)
• Island Coast Orthopedics, Inc.
• Isw10244Delta Family Counseling
• It's Vivace Expressive Therapy & More LLC
• Ivana Medical Equipment & Supplies Corp
• Daniel Izaguirre, DMD
• Annamary L Izquierdo Figueroa

• Family Medicine Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.