Leesburg Pain & Rehab, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9826 Issued in FL

Legal business name

LEESBURG PAIN & REHAB, INC

Practice address

32749 Radio Rd
Leesburg, FL 34788-3901

Phone

(305) 608-9248

NPI assigned

Apr 13, 2011

Last updated

Apr 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Sussman

Title

Owner

Phone

(305) 608-9248

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1720378540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32749 RADIO RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883901",
            "telephone_number": "305-608-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32749 RADIO RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883901",
            "telephone_number": "305-608-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG PAIN & REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-608-9248"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leesburg Cardiovascular Associates LLC
• Leesburg Chiropractic Center, Inc
• Leesburg Family Medicine
• Leesburg Health & Rehab LLC
• Leesburg Health and Rehab
• Leesburg Pediatrics PA
• Leesburg Primary Care Center, LLC
• Leesburg Psychology
• Leesburg Regional Medical Center (CFHA Occupational Health Services)
• Leesburg Regional Medical Center D/B/a LRMC Nursing Center (LRMC Nursing Center)

• Chiropractor in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.