PAIN AND SPINE PHYSIO REHAB LLC (NPI# 1073918371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073918371 |
| Entity Type | Organization |
| Organization Name | PAIN AND SPINE PHYSIO REHAB LLC |
| Practice Address |
100 Southpark Blvd Suite 408 B St Augustine FL 32086-5189 |
| Mailing Address |
100 Southpark Blvd Suite 408-b St Augustine FL 32086-5189 |
| Practice Telephone | 5184073422 |
| Mailing Telephone | 5184073422 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | MR. REGINO IRWIN B REYES (AMBR) |
| Authorized Official Telephone | 5184073422 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
PT0007862 | FL | Ambulatory Health Care Facilities |
| Y | 225100000X | Physical Therapist | PT7862 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 SOUTHPARK BLVD SUITE 408 B |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861448557 | Regino Irwin Bariso Reyes | Physical Therapist | 100 Southpark Blvd, Ste 408-b, St Augustine, FL 32086-5189 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619055 | Monarch Mobile Physical Therapy LLC | Physical Therapist | 316 Islander Cir, St Augustine, FL 32080-6007 | 2020-08-12 |
| 1740824408 | Ashley Jordan Yoos | Physical Therapist | 1 St Johns Med Pk Dr, St Augustine, FL 32086-5300 | 2019-11-05 |
| 1093359879 | Zachary Devirgilio | Physical Therapist | 111 B St, St Augustine, FL 32080-6811 | 2019-11-04 |
| 1972165223 | William Regan | Physical Therapist | 229 Golden Oaks Ln, St Augustine, FL 32080-6111 | 2019-07-07 |
| 1417455866 | Paul Alexander Copperthwaite | Physical Therapist | 6925 Cypress Spring Ct, St Augustine, FL 32086-7969 | 2018-01-30 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1538611785 | Strive Healthcare LLC | Physical Therapist | 165 Silver Ln, St Augustine, FL 32084-3922 | 2016-11-03 |
| 1659821767 | Margo Slovis | Physical Therapist | 244 Vale Dr, St Augustine, FL 32095-4832 | 2016-10-12 |
| 1205200276 | Brett Huether | Physical Therapist | 107 Menendez Rd, St Augustine, FL 32080-5327 | 2015-11-13 |
| 1457728941 | Christine Huxley | Physical Therapist | 15105 Harbour Vista Cir, St Augustine, FL 32080-5108 | 2015-08-31 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.