Physics Rehab Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PHYSICS REHAB CENTER

Practice address

Id14 Calle Almacigo
Bayamon, PR 00956-3104

Phone

(787) 288-0808

Fax

(787) 288-0888

NPI assigned

Jul 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Omar Gomez Medina, MD

Title

Presidente

Phone

(787) 288-0808

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 8

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

• Omar Gomez-Medina, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Bayamon, PR
  • NPI 1538350848
  Medicare reassignment Care Compare group NPD
• Denise Velazquez Prados, PT

  • Physical Therapist
  • Bayamon, PR
  • NPI 1922056100
  Medicare reassignment Care Compare group NPD
• Dhalma Yanisse Marcano Ortiz, MSPT

  • Physical Therapist
  • Orlando, FL
  • NPI 1699034272

  PR

  Medicare reassignment Care Compare group NPD
• Luis Santana

  • Specialist
  • Canovanas, PR
  • NPI 1447224886
  NPD
• Edgardo David Martinez Morales, MD

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1710417100
  NPD (past)
• Ailed Morales-Batista

  • Physical Therapist
  • Catano, PR
  • NPI 1699887984
  NPD (past)
• Carla Marie Torres Perez, PT, DPT

  • Physical Therapist
  • San Juan, PR
  • NPI 1992456974
  NPD (past)
• Sonia M Correa Rivera, MSPT

  • Physical Therapist
  • Mandeville, LA
  • NPI 1558581850
  NPD (past)

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1962054395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B38 CALLE NORTH VIEW COURT",
            "address_2": "URB BALDWIN PARK",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-288-0808",
            "fax_number": "787-288-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ID14 CALLE ALMACIGO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563104",
            "telephone_number": "787-288-0808",
            "fax_number": "787-288-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICS REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "GOMEZ",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-288-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1190013-0010",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bayamon",
            "affiliation": "N",
            "endpointDescription": "7872880808",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Id14 Calle Almacigo",
            "city": "Bayamon",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009563104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jose L. Pesante-Pinto, M.D.
• Pet Imaging Radiology PSC
• Pharma Express MC Corp
• Phoenix Therapy LLC
• Physician Services Group LLC PS Group
• Physiotherapy Health Services
• Physiotherapy Rehabilitation Services, Inc
• Physiotherapy Rehabilitation Services, Inc
• Heyda Liz Piar, RT
• Edwin Lugo Piazza, MD

• Multi-Specialty Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.