SPINAL INTEGRATED MEDICINE, LLC (NPI# 1689079709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689079709 |
| Entity Type | Organization |
| Organization Name | SPINAL INTEGRATED MEDICINE, LLC |
| Practice Address |
324 Cross St Punta Gorda FL 33950-4828 |
| Practice Telephone | 9412052180 |
| Practice Fax Number | 9412052181 |
| Mailing Telephone | 9412052180 |
| Mailing Fax Number | 9412052181 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |
| Authorized Official Name | KEVIN M. VAN NOSTRAND (PRESIDENT) |
| Authorized Official Telephone | 9412052180 |
| Authorized Official Credential | B.S., D.C, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
324 CROSS ST |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982699807 | Charlotte Workers Comp Injury Center Inc | Massage Therapist | 324 Cross St, Punta Gorda, FL 33950-4802 | 2005-09-16 |
| 1134532054 | Spinal Health and Rehab of Punta Gorda, Inc. | Physical Therapist | 324 Cross St, Punta Gorda, FL 33950-4828 | 2014-06-09 |
| 1184946691 | Spinal Health and Rehab of Punta Gorda, Inc | Chiropractor | 324 Cross St, Punta Gorda, FL 33950-4828 | 2010-02-25 |
| 1285960047 | Emily Quegan | Massage Therapist | 324 Cross St, Punta Gorda, FL 33950 | 2009-10-28 |
| 1447586300 | Richelle Spears | Massage Therapist | 324 Cross St, Punta Gorda, FL 33950 | 2009-10-28 |
| 1144478363 | Sue Wesolowski | Massage Therapist | 324 Cross St, Punta Gorda, FL 33950 | 2008-08-29 |
| 1811145295 | Traci Carvalho | Massage Therapist | 324 Cross St, Punta Gorda, FL 33950-4828 | 2008-08-28 |
| 1801943253 | Kevin Michael Van Nostrand | Chiropractor | 324 Cross St, Punta Gorda, FL 33950-4828 | 2007-01-05 |
| 1669467585 | Linda M Endy | Massage Therapist | 324 Cross St, Punta Gorda, FL 33950-4802 | 2005-09-16 |
| 1801881727 | David Goranson | Physical Therapist | 324 Cross St, Punta Gorda, FL 33950-4802 | 2005-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372027 | Wholehealth Physical Therapy, LLC | Physical Medicine & Rehabilitation | 21123 Via Ventura, Boca Raton, FL 33433-2230 | 2019-11-27 |
| 1306404843 | Gregory Carvajal | Physical Medicine & Rehabilitation | 3425 Nw 180th St, Miami Gardens, FL 33056-3429 | 2019-05-30 |
| 1871059196 | Michaela Moran | Physical Medicine & Rehabilitation | 2750 John Prom Blvd, Jacksonville, FL 32246-3921 | 2019-02-11 |
| 1194298216 | Courtney Quinn | Physical Medicine & Rehabilitation | 6233 Royal Tern St, Orlando, FL 32810-6085 | 2019-01-11 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1376023481 | Michelle L Stinehelfer | Physical Medicine & Rehabilitation | 1418 East Bloomingdale Avenue, Valrico, FL 33596 | 2018-08-17 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1003266537 | Christiana Marron | Physical Medicine & Rehabilitation | 800 E Broward Blvd Ste 102, Fort Lauderdale, FL 33301-2020 | 2016-06-15 |
| 1780046177 | Shawn Darmond Homans | Physical Medicine & Rehabilitation | 13539 N Florida Ave, Tampa, FL 33613-3203 | 2016-03-24 |
| 1376933507 | Jessica Benshoshan | Physical Medicine & Rehabilitation | 6251 Palm Trace Landings Dr, Apt # 113, Davie, FL 33314-1841 | 2015-01-26 |
| Find all providers with the same taxonomy | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
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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.