PAIN RELIEF AND PHYSICAL REHAB INC (NPI# 1134378938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134378938 |
| Entity Type | Organization |
| Organization Name | PAIN RELIEF AND PHYSICAL REHAB INC |
| Other Organization Name | PAIN RELIEF AND PHYSICAL REHAB |
| Practice Address |
4977 Royal Gulf Cir Fort Myers FL 33966-7006 |
| Mailing Address |
13470 Parker Commons Blvd Ste 105 Fort Myers FL 33912-1850 |
| Practice Telephone | 2392260077 |
| Practice Fax Number | 2394890077 |
| Mailing Telephone | 2392260077 |
| Mailing Fax Number | 2394890077 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | DR. KEITH S SUSKO (PRESIDENT) |
| Authorized Official Telephone | 2392260077 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 17033 | 01 |
| FL | MEDICARE | 17033X | 01 |
| FL | 2658666-00 | 05 |
| Other Name | Type Code |
|---|---|
| Pain Relief and Physical Rehab | Doing Business As Name - Organization |
| Street Address |
4977 ROYAL GULF CIR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33966-7006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275595159 | Keith S. Susko | Physical Medicine & Rehabilitation | 4977 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2006-04-05 |
| 1275075822 | Kristine Carter | Occupational Therapist | 4977 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2016-11-14 |
| 1376996553 | Mallory Janocko | Speech-Language Pathologist | 4977 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2016-07-22 |
| 1346693702 | Emily Macintyre | Speech-Language Pathologist | 4977 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2016-07-20 |
| 1124487772 | Brian Hehr | Physical Therapist | 4977 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1932646171 | Jose M Butron | Behavioral Analyst | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 | 2017-01-26 |
| 1003276833 | Katia Jasmin Robinson Lucero | Social Worker | 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 | 2016-03-07 |
| 1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
| 1003166273 | Reetane Singh | Dentist | 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 | 2012-09-14 |
| 1518216159 | Lee Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 10140 Deer Run Farms Road, Fort Myers, FL 33966 | 2012-08-29 |
| 1033482724 | Planned Parenthood of Southwest and Central Florida Inc. | Obstetrics & Gynecology | 6418 Commerce Park Drive, Fort Myers, FL 33966 | 2012-02-11 |
| 1013292291 | J Kru Therapy LLC Dba Focus | Physical Therapist | 4997 Royal Gulf Cir, Fort Myers, FL 33966 | 2011-10-19 |
| 1528354651 | American In-home Care, LLC | Home Health | 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 | 2011-06-27 |
| 1811219256 | Vera Marie Rosado-odom | Internal Medicine | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 | 2010-02-26 |
| Find all providers in zip 33966 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497310726 | Lee Med Health Center Inc | Physical Medicine & Rehabilitation | 13670 Metropolis Ave Ste 101, Fort Myers, FL 33912-4346 | 2019-05-02 |
| 1639267503 | Ross Alan Hauser | Physical Medicine & Rehabilitation | 9738 Commerce Center Ct, Fort Myers, FL 33908-3670 | 2006-10-10 |
| 1053361154 | Pierre R Herard | Physical Medicine & Rehabilitation | 16281 Bass Rd Ste 300, Fort Myers, FL 33908-9687 | 2006-05-11 |
| 1306809769 | Peter S. Schreiber | Physical Medicine & Rehabilitation | 9705 Commerce Center Ct Ste 103, Fort Myers, FL 33908 | 2006-04-07 |
| 1275595159 | Keith S. Susko | Physical Medicine & Rehabilitation | 4977 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2006-04-05 |
| 1538154547 | Vidya P Kini | Physical Medicine & Rehabilitation | 35 Barkley Cir, Suite 1, Fort Myers, FL 33907-7531 | 2005-09-15 |
| 1578556411 | Physical Therapy Assoc of Lee Co | Physical Medicine & Rehabilitation | 3660 Central Ave, Suite 12, Fort Myers, FL 33901-7699 | 2005-08-25 |
| 1265902498 | Troy W Smith | Physical Medicine & Rehabilitation | 6314 Whiskey Creek Dr, Fort Myers, FL 33919-8762 | 2018-11-30 |
| 1013394162 | Aileen Hilario Padilla | Physical Medicine & Rehabilitation | 8255 College Pkwy Ste 200, Fort Myers, FL 33919-5119 | 2015-04-28 |
| 1326465477 | Jaclyn Gorovoy Holt | Physical Medicine & Rehabilitation | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919-3370 | 2014-03-26 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33966 |
Please comment or provide details below to improve the information on PAIN RELIEF AND PHYSICAL REHAB INC.
| 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.