PARK LAKE PHYSICAL MEDICINE, LLC


Address: 2206 E Colonial Dr, Orlando, FL 32803-4912
Phone: 4078391045

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL DMERC 6694190001 01

Other Provider/Organization Names

Other Name Type Code
Integrative Physical Medicine Doing Business As Name - Organization

Office Location

Street Address 2206 E COLONIAL DR
City ORLANDO
State FL
Zip Code 32803-4912

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City ORLANDO
Zip Code 32803

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Dataset Information

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.

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