Kissimmee Spine and Rehabilitation Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KISSIMMEE SPINE AND REHABILITATION CENTER, LLC

Practice address

913 Mabbette St
Kissimmee, FL 34741-5157

Phone

(407) 942-3258

Fax

(407) 942-3316

NPI assigned

Dec 11, 2019

Organization subpart

No

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

Authorized official

Name

Yanina Genao, DC

Title

Owner/Doctor

Phone

(407) 942-3258

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1720626633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 MABBETTE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415157",
            "telephone_number": "407-942-3258",
            "fax_number": "407-942-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 MABBETTE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415157",
            "telephone_number": "407-942-3258",
            "fax_number": "407-942-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSIMMEE SPINE AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "GENAO",
        "authorized_official_first_name": "YANINA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "407-942-3258",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kissimmee Physician'S Clinic
• Kissimmee Primary Care Anti-Aging Wellness and Weight Loss Center PA
• Kissimmee Primary Care Anti-Aging Wellness and Weightloss Center PA
• Kissimmee Primary Care/ Anti-Aging Wellness and Weight Loss Center PA
• Kissimmee SNF LLC
• Kissimmee Surgicare LTD
• Kissimmee Urgent Care
• Annelise Kathleen Kistner
• Mallory Robichaux Klein
• Denise L Klemczak, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.