Organization Active NPI

Comprehensive Spine & Sport Injury Rehab, LLC

  • Physical Medicine & Rehabilitation Physician
  • Dade City, FL
National Provider Identifier
1811450554
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
COMPREHENSIVE SPINE & SPORT INJURY REHAB, LLC
Practice address
14028 5TH St Ste a
Dade City, FL 33525-4311
Phone
(352) 600-2232
Fax
(352) 292-0136
NPI assigned
Apr 10, 2019
Last updated
Apr 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Philip Snyder, DCNPI 1942586466
Title
MBR
Phone
(724) 875-2460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

14028 5TH St Ste a
Dade City, FL 33525-4311

Mailing address

14028 5TH St Ste a
Dade City, FL 33525-4311
Phone (352) 600-2232

Other practice location 1

5413 George St Ste 1
New Port Richey, FL 34652-4101
Phone (352) 600-2232

National Provider Directory

National Provider Directory

Locations

14028 5th St
Ste A
Dade City, FL 33525
Phone (352) 600-2232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1811450554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14028 5TH ST STE A",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254311",
            "telephone_number": "352-600-2232",
            "fax_number": "352-292-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14028 5TH ST STE A",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254311",
            "telephone_number": "352-600-2232",
            "fax_number": "352-292-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5413 George St Ste 1",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346524101",
            "country_code": "US",
            "telephone_number": "352-600-2232",
            "fax_number": "352-292-0136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE SPINE & SPORT INJURY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "724-875-2460",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.