Organization Active NPI

Volusia Spine & Rehabilitation Center PLLC

  • Clinic/Center
  • Deltona, FL
National Provider Identifier
1649088758
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VOLUSIA SPINE & REHABILITATION CENTER PLLC
Practice address
610 Deltona Blvd Ste a
Deltona, FL 32725-8043
Phone
(407) 942-3258
Fax
(407) 942-3258
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Yanina Genao, DCNPI 1013251032
Title
Owner/Doctor
Phone
(407) 227-9335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

610 Deltona Blvd Ste a
Deltona, FL 32725-8043

Mailing address

610 Deltona Blvd Ste a
Deltona, FL 32725-8043
Phone (407) 942-3258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319001577 FL Part B Supplier - Clinic/Group Practice 5597287557 Receives reassigned benefits from 1 practitioner
Practice locations: Deltona, FL

National Provider Directory

National Provider Directory

Locations

610 Deltona Blvd
Ste A
Deltona, FL 32725
Phone (407) 942-3258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1649088758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 DELTONA BLVD STE A",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258043",
            "telephone_number": "407-942-3258",
            "fax_number": "407-942-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 DELTONA BLVD STE A",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258043",
            "telephone_number": "407-942-3258",
            "fax_number": "407-942-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA SPINE & REHABILITATION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "GENAO",
        "authorized_official_first_name": "YANINA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "407-227-9335",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.

Verify at the official NPI Registry.