FUNCTIONAL REHABILITATION CENTER LLC NPI 1104068576

NPI Information

  • NPI: 1104068576
  • Provider Name: FUNCTIONAL REHABILITATION CENTER, LLC
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 4520 WICHERS DR
    SUITE202
    MARRERO, LA
    ZIP 70072
  • Phone: (504) 324-4337

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NPI Details

FUNCTIONAL REHABILITATION CENTER, LLC is a pain medicine physical medicine rehabilitation in Marrero, LA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. FUNCTIONAL REHABILITATION CENTER, LLC NPI is 1104068576. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4520 WICHERS DR
SUITE202
MARRERO, LA
ZIP 70072-135
Phone: (504) 324-4337

The provider's authorized official is Charles E Schlosser .
The authorized official title is Owner and has the following contact phone number (504) 324-4337.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 6/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain Medicine026430LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11038067MEDICAIDLOUISIANA
21028667MEDICARE UPIN
34N360MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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