Active NPI
NRV Enterprises Inc
Doing business as Functional Rehab Center
- Physical Therapy Clinic/Center
- Sebring, FL
National Provider Identifier
1518990753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 106953
- Legal business name
- NRV ENTERPRISES INC
- Doing business as
- Functional Rehab Center
- Practice address
- 4141 Sun N Lake Blvd
Sebring, FL 33872-2131 - Phone
- (863) 385-6119
- Fax
- (863) 385-9698
- NPI assigned
- Jul 9, 2006
- Last updated
- Oct 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roy G. Asumbrado, RPT
- Title
- Administrator
- Phone
- (863) 385-6119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 106953 | FL | Primary |
Addresses
Primary practice location
4141 Sun N Lake Blvd
Sebring, FL 33872-2131
Mailing address
4141 Sun N Lake Blvd
Sebring, FL 33872-2131
Phone (863) 385-6119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R8B | Other | FL | BCBSF |
| 883844500 | Medicaid | FL |
Other names 1
- FUNCTIONAL REHAB CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060221000250 | FL | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 6800801382 |
1 other NPI on this enrollment Practice locations: Sebring, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Functional Rehab Center
- Rehabilitation Clinic/Center
- Sebring, FL
- NPI 1003094202
O20060221000250
National Provider Directory
National Provider Directory- Tax ID family
- Functional Rehab Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Functional Rehab Center
- Rehabilitation Clinic/Center
- Sebring, FL
- NPI 1003094202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1518990753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722131",
"telephone_number": "863-385-6119",
"fax_number": "863-385-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722131",
"telephone_number": "863-385-6119",
"fax_number": "863-385-9698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NRV ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "ASUMBRADO",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "863-385-6119",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "106953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSF",
"identifier": "R8B",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "883844500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FUNCTIONAL REHAB CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sebring, FL
- Jennifer L Noble
- Ali Noor, MD
- Northland Hearing Centers, Inc. (Audibel Hearing Center)
- Novamed Surgery Center of Sebring LLC (Surgical Center of Central Florida)
- NRV Enterprises Inc (Functional Rehab Center)
- Nu-Hope Elder Care Services, Inc.
- Viviana Nunez
- Nurse Connection, Inc. (Homecare Solutions Group)
- Nursin & Truckin LLC
- Kate Elaine O'Donnell, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.