Active NPI
Integrative Rehab Medicine, Inc
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Estero, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- INTEGRATIVE REHAB MEDICINE, INC
- Practice address
- 9351 Corkscrew Rd Ste 103
Estero, FL 33928-6801 - Phone
- (239) 687-3199
- NPI assigned
- Jun 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sebastian Klisiewicz, DO
- Title
- Owner
- Phone
- (773) 895-0708
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | Primary |
Addresses
Primary practice location
9351 Corkscrew Rd Ste 103
Estero, FL 33928-6801
Mailing address
9351 Corkscrew Rd Ste 103
Estero, FL 33928-6801
Phone (239) 687-3199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS12803 | Other | FL | DO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2170048 | Integrative Rehab Medicine | Certificate of waiver | Jul 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
9250 Corkscrew Rd
Ste 15
Estero, FL 33928
Phone (239) 400-5639
9351 Corkscrew Rd
#103
Estero, FL 33928
Phone (239) 687-3199
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
345 Executive Pkwy
Ste M4
Rockford, IL 61107
Phone (815) 399-1141
Interoperability endpoints
- https://api.platform.athenahealth.com/19930/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Estero, FL
- NPI 1922268697
-
- Medical Physician Assistant
- Estero, FL
- NPI 1447758818
-
- Acupuncturist
- Estero, FL
- NPI 1134718877
-
- Sports Medicine (Family Medicine) Physician
- Estero, FL
- NPI 1639137326
-
- Adult Health Nurse Practitioner
- Des Plaines, IL
- NPI 1679905558
-
- Family Nurse Practitioner
- Rockford, IL
- NPI 1659915163
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1518275635
-
- Physical Medicine & Rehabilitation Physician
- Roc, IL
- NPI 1760436067
-
- Family Nurse Practitioner
- Rockford, IL
- NPI 1912162629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1821658428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9351 CORKSCREW RD STE 103",
"city": "ESTERO",
"state": "FL",
"postal_code": "339286801",
"telephone_number": "239-687-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9351 CORKSCREW RD STE 103",
"city": "ESTERO",
"state": "FL",
"postal_code": "339286801",
"telephone_number": "239-687-3199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE REHAB MEDICINE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-17",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "KLISIEWICZ",
"authorized_official_first_name": "SEBASTIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-895-0708",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DO",
"identifier": "OS12803",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.