Organization Active NPI

Premier Pain and Spine Institute PLLC

  • Physical Medicine & Rehabilitation Physician
  • Boca Raton, FL
National Provider Identifier
1881049849
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS12571 Issued in FL
Legal business name
PREMIER PAIN AND SPINE INSTITUTE PLLC
Practice address
22151 Bella Lago Dr Apt 1207
Boca Raton, FL 33433-4819
Phone
(917) 376-9576
NPI assigned
Apr 27, 2016
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Dr. Sina Menashehoff, DONPI 1407146301
Title
Owner
Phone
(917) 376-9576

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X OS12571 FL Primary

Addresses

Primary practice location

22151 Bella Lago Dr Apt 1207
Boca Raton, FL 33433-4819

Mailing address

22151 Bella Lago Dr Apt 1207
Boca Raton, FL 33433-4819

National Provider Directory

National Provider Directory

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": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1881049849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22151 BELLA LAGO DR APT 1207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 BELLA LAGO DR APT 1207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334819",
            "telephone_number": "917-376-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN AND SPINE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "MENASHEHOFF",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-376-9576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS12571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.