Organization Active NPI

Florida Pain Care and Rehab Corp

  • Rehabilitation Clinic/Center
  • Orlando, FL
National Provider Identifier
1720383425
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
HCC 8963 Issued in FL
Legal business name
FLORIDA PAIN CARE AND REHAB CORP
Practice address
1456 S Semoran Blvd
Orlando, FL 32807-2918
Phone
(407) 482-3838
Fax
(407) 382-4095
NPI assigned
Jan 11, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Ms. Bennie Sison
Title
Administrator
Phone
(407) 482-3838

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC8963 FL
Rehabilitation Clinic/Center 261QR0400X HCC 8963 FL Primary
Rehabilitation Chiropractor 111NR0400X CH5539 FL

Addresses

Primary practice location

1456 S Semoran Blvd
Orlando, FL 32807-2918

Mailing address

1456 S Semoran Blvd
Orlando, FL 32807-2918
Phone (407) 482-3838

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1720383425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328072918",
            "telephone_number": "407-482-3838",
            "fax_number": "407-382-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328072918",
            "telephone_number": "407-482-3838",
            "fax_number": "407-382-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PAIN CARE AND REHAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "SISON",
        "authorized_official_first_name": "BENNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-482-3838",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC8963",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC 8963",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH5539",
            "primary": false
        }
    ],
    "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 Jul 25, 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.