Individual provider Active NPI

Robert E Kent, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Deltona, FL
National Provider Identifier
1730407917
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS12315 Issued in FL
Practice address
813 Deltona Blvd
Deltona, FL 32725
Phone
(386) 507-5296
NPI assigned
May 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS12315 FL
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X OS12315 FL
Spinal Cord Injury Medicine Physician 2081P0004X OS12315 FL
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X OS12315 FL
Interventional Pain Medicine Physician 208VP0014X OS12315 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS12315 FL Primary

Addresses

Primary practice location

813 Deltona Blvd
Deltona, FL 32725

Mailing address

10 Clark St
Enterprise, FL 32725-8106
Phone (386) 507-5269

Other practice location 1

101 Avenue D NW
Winter Haven, FL 33881-4120
Phone (863) 298-3500

Other practice location 2

2116 S Orange Ave
Orlando, FL 32806-3055
Phone (386) 507-5269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140823000203 FL Practitioner - Osteopathic Manipulative MedicinePractitioner - Hospice/Palliative CarePractitioner - Interventional Pain ManagementPractitioner - Preventive MedicinePractitioner - Addiction MedicinePractitioner - Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 8224256847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Addiction Medicine, Hospice/Palliative Care, Interventional Pain Management, Pain Management
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Kadia Medical LLCGroup PAC ID 5092055293, 2 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

850 W Plymouth Ave
Deland, FL 32720-3284
Phone (386) 507-5269

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Kadia Medical, LLC CurrentSince Feb 2, 2019 Accepting new patients
Total Spine & Wellness CurrentSince Jun 3, 2024 Accepting new patients
Dr.Rawji MD OB-Gynllc Past Accepting new patients

Locations

1180 N Williamson Blvd
Ste 140
Daytona Beach, FL 32114
Phone (386) 337-3190

850 W Plymouth Ave
Deland, FL 32720
Phone (386) 337-3190

813 Deltona Blvd
Deltona, FL 32725
Phone (386) 337-3190

813 Deltona Blvd
Ste A
Deltona, FL 32725
Phone (321) 300-4208

709 S Harbor City Blvd
Ste 110
Melbourne, FL 32901
Phone (321) 499-4646

2116 S Orange Ave
Ste B
Orlando, FL 32806
Phone (407) 704-8990

Interoperability endpoints

  • Direct secure messaging: robert.kent.2@19493.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730407917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CLARK ST",
            "city": "ENTERPRISE",
            "state": "FL",
            "postal_code": "327258106",
            "telephone_number": "386-507-5269",
            "fax_number": "855-879-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 DELTONA BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "32725",
            "telephone_number": "386-507-5296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Avenue D NW",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814120",
            "country_code": "US",
            "telephone_number": "863-298-3500",
            "fax_number": "863-298-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2116 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328063055",
            "country_code": "US",
            "telephone_number": "386-507-5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENT",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS12315",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "OS12315",
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "FL",
            "license": "OS12315",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "OS12315",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS12315",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS12315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.