Organization Active NPI

Rehabilitation Medical GRP PA

  • Pain Clinic/Center
  • Orlando, FL
National Provider Identifier
1689774838
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
5000-0064/320-000615 Issued in FL
Legal business name
REHABILITATION MEDICAL GRP PA
Practice address
100 West Gore Street Ste 203
Orlando, FL 32806-1041
Phone
(407) 649-8707
Fax
(407) 649-8363
NPI assigned
Sep 25, 2006
Organization subpart
Yes
Parent organization
REHABILITATION MEDICAL GROUP PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Ms. Diane Green
Title
Practice Manager
Phone
(407) 649-8707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 5000-0064/320-000615 FL Primary

Addresses

Primary practice location

100 West Gore Street Ste 203
Orlando, FL 32806-1041

Mailing address

100 West Gore Street Ste 203
Orlando, FL 32806-1041
Phone (407) 649-8707

National Provider Directory

National Provider Directory
Part of
Michael J Creamer DO PA

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1689774838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST GORE STREET STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061041",
            "telephone_number": "407-649-8707",
            "fax_number": "407-649-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST GORE STREET STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061041",
            "telephone_number": "407-649-8707",
            "fax_number": "407-649-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICAL GRP PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHABILITATION MEDICAL GROUP PA",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "407-649-8707",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "5000-0064/320-000615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.