Physical Medicine & Rehabilitation PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME95874

Legal business name

PHYSICAL MEDICINE & REHABILITATION PA

Practice address

1133 Saxon Boulevard
Orange City, FL 32763

Phone

(386) 775-7080

Fax

(386) 775-8070

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Samir G Chaudhari, MD

Title

President Owner

Phone

(386) 775-7080

Specialties & licenses 1

Addresses

Tax ID family

Physical Medicine Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Samir G. Chaudhari, M.D., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Orlando, FL
  • NPI 1215231824
  NPD tax ID

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457574055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741240",
            "address_2": "PHYSICAL MEDICINE & REHABILITATION PA",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32774",
            "telephone_number": "386-774-5211",
            "fax_number": "386-774-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 SAXON BOULEVARD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "386-775-7080",
            "fax_number": "386-775-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & REHABILITATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "386-775-7080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": "ME95874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Angela Persaud Tellini, LMHC
• Marianne Pesci de Matos Moreira, CNM
• Peters Chiropractic Center, P.a.
• Veronica Faye Petkus, MS, LMHC
• Zephaniah Elizabeth Philippe, PA-C
• Physical Medicine and Rehabilitation, PA
• Physician First Management Co. LLC
• Carhine Pierre-Lambert, MD
• Madelynn Pietroburgo
• Amy Pike

• Physical Medicine & Rehabilitation Physician in Orange City, FL
• Providers in Orange City, 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 Aug 22, 2020; 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.