Organization Active NPI

Strive Integrated Physical Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Ocala, FL
National Provider Identifier
1467855940
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
STRIVE INTEGRATED PHYSICAL MEDICINE LLC
Practice address
2626 SE Maricamp Rd Ste 102
Ocala, FL 34471-5582
Phone
(352) 690-7777
Fax
(352) 690-7788
NPI assigned
Sep 29, 2014
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Richard W Shutes
Title
Ceo/President
Phone
(352) 690-7777

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU Primary
Interventional Pain Medicine Physician 208VP0014X NU

Addresses

Primary practice location

2626 SE Maricamp Rd Ste 102
Ocala, FL 34471-5582

Mailing address

2626 SE Maricamp Rd
Ocala, FL 34471-5582
Phone (352) 690-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150424000855 FL Part B Supplier - Clinic/Group Practice 4385963305 Receives reassigned benefits from 8 practitioners
Practice locations: Ocala, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2170819Strive Integrated Physical Medicine2626 SE Maricamp Rd, Ocala, FL 34471Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20870/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1467855940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 SE MARICAMP RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715582",
            "telephone_number": "352-690-7777",
            "fax_number": "352-690-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 SE MARICAMP RD STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715582",
            "telephone_number": "352-690-7777",
            "fax_number": "352-690-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIVE INTEGRATED PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SHUTES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "352-690-7777"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.