PARK LAKE PHYSICAL MEDICINE, LLC (NPI# 1669749396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669749396 |
Entity Type | Organization |
Organization Name | PARK LAKE PHYSICAL MEDICINE, LLC |
Other Organization Name | INTEGRATIVE PHYSICAL MEDICINE |
Practice Address |
2206 E Colonial Dr Orlando FL 32803-4912 |
Practice Telephone | 4078391045 |
Practice Fax Number | 4078391044 |
Mailing Telephone | 4078391045 |
Mailing Fax Number | 4078391044 |
Enumeration Date | 2011-11-23 |
Last Update Date | 2014-03-19 |
Authorized Official Name | MRS. SHELBY ANNE REID (MANAGER) |
Authorized Official Telephone | 4078391045 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | DMERC | 6694190001 | 01 |
Other Name | Type Code |
---|---|
Integrative Physical Medicine | Doing Business As Name - Organization |
Street Address |
2206 E COLONIAL DR |
City | ORLANDO |
State | FL |
Zip Code | 32803-4912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780049387 | Virginia Marsico | Chiropractor | 2206 E Colonial Dr, Orlando, FL 32803-4912 | 2015-12-23 |
1871971325 | Nancy Mae Regnier | Nurse Practitioner | 2206 E Colonial Dr, Orlando, FL 32803-4912 | 2015-05-15 |
1235523689 | Central Florida Orthopaedic, LLC | Orthopaedic Surgery | 2206 E Colonial Dr, Orlando, FL 32803-4912 | 2015-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
Find all providers in zip 32803 |
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 |
---|---|---|---|---|
1538709407 | Andres E Bracho Sr. | Physical Medicine & Rehabilitation | 12701 S John Young Pkwy Ste 216, Orlando, FL 32837-3423 | 2020-01-08 |
1215588926 | Advanced Rehabilitation Specialists, LLC | Physical Medicine & Rehabilitation | 1 S Eola Dr, Orlando, FL 32801-2151 | 2019-09-24 |
1538625926 | Fairlight Burke-pallotta | Physical Medicine & Rehabilitation | 2102 Shaffer Pl, Orlando, FL 32806-3318 | 2019-02-11 |
1528595980 | Chelsea Bobola | Physical Medicine & Rehabilitation | 2531 N Alafaya Trl Apt 59, Orlando, FL 32826-3954 | 2017-05-16 |
1174982169 | Advantacare Multi-specialty Group, LLC | Physical Medicine & Rehabilitation | 815 Good Homes Rd, Orlando, FL 32818-6628 | 2016-02-18 |
1922404243 | Rehabilitation and Fitness Consultants, Pllc | Physical Medicine & Rehabilitation | 3208 E Colonial Dr Unit 299, Orlando, FL 32803-5127 | 2014-11-13 |
1528461225 | Erehab LLC | Physical Medicine & Rehabilitation | 13136 Woodford St, Orlando, FL 32832 | 2014-10-08 |
1720351034 | Milton De Brun | Physical Medicine & Rehabilitation | 2740 Maitland Crossing Way Apt 2203, Orlando, FL 32810-7130 | 2012-02-16 |
1194006981 | Atlantic Rehabilitation Medicine Associates Pa | Physical Medicine & Rehabilitation | 2501 N Orange Ave Ste 505, Orlando, FL 32804-4674 | 2011-09-07 |
1790071603 | Sandra Kaur Sandhu | Physical Medicine & Rehabilitation | Po Box 2151, Orlando, FL 32802-2151 | 2011-06-20 |
Find all providers in ORLANDO |
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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.