CENTRAL FLORIDA SPINE AND PAIN (NPI# 1851904916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851904916 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA SPINE AND PAIN |
| Practice Address |
395 S Wickham Rd Melbourne FL 32904-1135 |
| Practice Telephone | 3218025021 |
| Practice Fax Number | 3218024999 |
| Mailing Telephone | 3218025021 |
| Mailing Fax Number | 3218024999 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | AMANDA JACOBS (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 3218025021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Street Address |
395 S WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841735701 | Spine and Orthopaedic Specialists of Central Florida, LLC | Orthopaedic Surgery | 395 S Wickham Rd, Melbourne, FL 32904-1135 | 2017-01-03 |
| 1275955692 | Nicole Bladin | Nurse Practitioner | 395 S Wickham Rd, Melbourne, FL 32904-1135 | 2014-01-21 |
| 1336482694 | Nicholas Louis Giordano | Physical Medicine & Rehabilitation | 395 S Wickham Rd, Melbourne, FL 32904-1135 | 2013-04-04 |
| 1457611154 | Elite Health Centers LLC | Chiropractor | 395 S Wickham Rd, Melbourne, FL 32904-1135 | 2012-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| 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 |
|---|---|---|---|---|
| 1316171036 | Mahathy Katukuri | Physical Medicine & Rehabilitation | 6414 Modern Duran Dr, Melbourne, FL 32940-2832 | 2009-05-08 |
| 1255590261 | Vijay Katukuri | Physical Medicine & Rehabilitation | 1301 W Eau Gallie Blvd Ste 112, Melbourne, FL 32935 | 2008-06-04 |
| 1932317054 | Luiz M Massa | Physical Medicine & Rehabilitation | 7125 Murrell Rd Ste C, Melbourne, FL 32940 | 2007-05-21 |
| 1144294596 | Li Jin Voepel | Physical Medicine & Rehabilitation | 4015 N Harbor City Blvd, Melbourne, FL 32935-5794 | 2006-02-14 |
| 1760474712 | Roger P. Thomas | Physical Medicine & Rehabilitation | 307 E New Haven Ave, Melbourne, FL 32901-4576 | 2005-08-16 |
| 1700497948 | Luke Jared Lamarre | Physical Medicine & Rehabilitation | 6300 N Wickham Rd Ste 133b, Melbourne, FL 32940-2029 | 2020-08-12 |
| 1396364774 | Mark Knopf | Physical Medicine & Rehabilitation | 611 Sheridan Rd, Melbourne, FL 32901-3226 | 2020-04-15 |
| 1609226810 | Matthew Joseph Janzen | Physical Medicine & Rehabilitation | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2016-06-18 |
| 1043647209 | Empowered Motion LLC | Physical Medicine & Rehabilitation | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2013-10-02 |
| 1336482694 | Nicholas Louis Giordano | Physical Medicine & Rehabilitation | 395 S Wickham Rd, Melbourne, FL 32904-1135 | 2013-04-04 |
| Find all providers in MELBOURNE | ||||
Please comment or provide details below to improve the information on CENTRAL FLORIDA SPINE AND PAIN.
| 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.