ST JUDE PAIN AND REHABILITATION SPECIALISTS
NPI 1184011496
Pain Medicine - Interventional Pain Medicine in Boynton Beach, FL
NPI Status: Active since April 24, 2015
Contact Information
2828 S SEACREST BLVD STE 211
BOYNTON BEACH, FL
ZIP 33435
Phone: (561) 369-7644
Fax: (561) 369-3471
- Organization
- Pain Medicine
- Interventional Pain Medicine
- CLIA Number: 10D2097628
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-18-2027
About ST JUDE PAIN AND REHABILITATION SPECIALISTS
This page provides the complete NPI Profile along with additional information for St Jude Pain And Rehabilitation Specialists, a provider established in Boynton Beach, Florida operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1184011496 assigned on April 2015. The practitioner's primary taxonomy code is 208VP0014X with license number ME73546 (FL). The provider is registered as an organization and their NPI record was last updated 8 years ago. St Jude Pain And Rehabilitation Specialists operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Alexis R Renta M.d. (Physician)
- NPI
- 1184011496
- Provider Name
- ST JUDE PAIN AND REHABILITATION SPECIALISTS
- Entity Type
- Organization
- Location Address
- 2828 S SEACREST BLVD STE 211 BOYNTON BEACH, FL 33435
- Location Phone
- (561) 369-7644
- Location Fax
- (561) 369-3471
- Mailing Address
- 1308 LAKE DR DELRAY BEACH, FL 33444
- Mailing Phone
- (561) 722-3388
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-24-2015
- Last Update Date
- 07-09-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME73546
- License State
- FL
- Taxonomy Description
- Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | ME73546 (FL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2097628
- Facility Type
- Physician Office
- Certificate Effective Date
- June 19, 2025
- Certificate Expiration Date
- June 18, 2027
- Laboratory Director
- ALEXIS RENTA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St Jude Pain And Rehabilitation Specialists to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1184011496, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BOYNTON BEACH, FL 33435
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184011496, enumerated as an "organization" on April 24, 2015.
The provider is located at 2828 S SEACREST BLVD STE 211 BOYNTON BEACH, FL 33435 and the phone number is (561) 369-7644.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
