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INTEGRATIVE REHAB MEDICINE INC NPI 1821658428


NPI Information

NPI: 1821658428
Provider Name: INTEGRATIVE REHAB MEDICINE , INC
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 10D2170048

Address:
9351 CORKSCREW RD # 103
ESTERO, FL
ZIP 33928
Phone: (239) 687-3199
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INTEGRATIVE REHAB MEDICINE , INC is a sports medicine physical medicine rehabilitation in Estero, FL. The provider is 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. INTEGRATIVE REHAB MEDICINE , INC NPI is 1821658428. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9351 CORKSCREW RD # 103
ESTERO, FL
ZIP 33928-801
Phone: (239) 687-3199

The provider's authorized official is Sebastian Klisiewicz .
The authorized official title is Owner and has the following contact phone number (773) 895-0708.

The CLIA number assigned to this NPI record is 10D2170048 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2019 and was last updated on 8/28/2023.


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
12081S0010XPhysical Medicine & RehabilitationSports MedicineYes

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
1OS12803OTHERFLORIDADO

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: 5/5/2024

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