NPIMap

Organization Active NPI

Orlando Pain & Med Rehab Ctr Inc

Doing business as Orlando Pain & Medical Rehabilitation Center

  • Physical Medicine & Rehabilitation Physician
  • Winter Springs, FL
National Provider Identifier
1710088836
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ORLANDO PAIN & MED REHAB CTR INC
Doing business as
Orlando Pain & Medical Rehabilitation Center
Practice address
5920 Red Bug Lake Rd
Winter Springs, FL 32708-5007
Phone
(407) 265-2100
Fax
(407) 265-2872
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Pedro T. Oliveros, M.D.NPI 1508966615
Title
Vice President
Phone
(407) 265-2100

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
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

5920 Red Bug Lake Rd
Winter Springs, FL 32708-5007

Mailing address

130 E. Altamonte Drive
Suite 1450
Altamonte Springs, FL 32701-4312
Phone (407) 265-2100

Other names 1

  • Orlando Pain & Medical Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

5920 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (407) 265-2100

Practitioners & affiliated clinicians

Practitioners 6

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710088836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E. ALTAMONTE DRIVE",
            "address_2": "SUITE 1450",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014312",
            "telephone_number": "407-265-2100",
            "fax_number": "407-265-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 RED BUG LAKE RD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085007",
            "telephone_number": "407-265-2100",
            "fax_number": "407-265-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PAIN & MED REHAB CTR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVEROS",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-265-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando Pain & Medical Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.