Spine, Sport & Physical Medicine Center, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

SPINE, SPORT & PHYSICAL MEDICINE CENTER, LLC

Practice address

2030 Bee Ridge Rd
Suite B
Sarasota, FL 34239-6108

Phone

(941) 845-0233

Fax

(941) 538-6063

NPI assigned

Jun 18, 2015

Organization subpart

No

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

Authorized official

Name

Carlos A Diaz, MDNPI 1730121682

Title

Owner

Phone

(941) 809-5794

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos A Diaz, MD

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
  • NPI 1730121682
  Medicare reassignment Care Compare group NPD Authorized official
• Steven Orlando Gaeta, DC

  • Chiropractor
  • Sarasota, FL
  • NPI 1205803038
  Medicare reassignment Care Compare group NPD
• Kristen C Cofer, PA-C

  • Physician Assistant
  • Bradenton, FL
  • NPI 1356688717
  Medicare reassignment

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1740662410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 BEE RIDGE RD",
            "address_2": "SUITE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396108",
            "telephone_number": "941-845-0233",
            "fax_number": "941-538-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 BEE RIDGE RD",
            "address_2": "SUITE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396108",
            "telephone_number": "941-845-0233",
            "fax_number": "941-538-6063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6060 State Road 70 E Unit D",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342039719",
            "country_code": "US",
            "telephone_number": "941-845-0233",
            "fax_number": "941-538-6063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE, SPORT & PHYSICAL MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-809-5794",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Spinale, ATC/L
• Spine Rehabilitation Associates Inc
• Spine Rehabilitation Specialists Inc
• Spine Sports and Rehabilitation Specialists PA
• Spine Well Inc
• Anthony J Spinella, MD
• Spineugenix LLC
• Spirit Home Healthcare
• Leigh Ann Spohn, COTA
• Sports and Orthopedic Rehabilitation Services, Inc.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.