Physical Medicine and Pain Consultants LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHYSICAL MEDICINE AND PAIN CONSULTANTS LLC

Practice address

1790 E Venice Ave Ste 102
Venice, FL 34292-3191

Phone

(941) 488-0074

Fax

(941) 488-2074

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

David Haber, DP

Title

Owner

Phone

(941) 488-0074

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1629436910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 RAVENNA ST",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853028",
            "telephone_number": "941-488-0074",
            "fax_number": "941-488-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE STE 102",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-488-0074",
            "fax_number": "941-488-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE AND PAIN CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-488-0074",
        "authorized_official_credential": "DP"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josie Elizabeth Phifer
• William F Phifer, MD
• Jody A Phillips, LMT, CNA
• Phlebotomy Services of SWFL LLC
• Phyllis K. Jensen, Psy.D.,L.L.C.
• Physical Therapy at Home Inc
• Physio Care PT LLC
• Physioworks Inc
• Phyziopro LLC
• George Roderick Pierce

• Physical Medicine & Rehabilitation Physician in Venice, FL
• Providers in Venice, 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 Oct 1, 2019; 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.