PHYSIATRIC PAIN & MEDICAL REHABILITATION CLINIC PA
NPI 1205012325
Physical Medicine & Rehabilitation - Pain Medicine in Orlando, FL

Q: What is Physiatric Pain & Medical Rehabilitation Clinic PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Active since January 18, 2008CLIA 10D2022642 · Waiver

882 S KIRKMAN RD STE 305, ORLANDO, FL 32811(407) 291-3077 Get Directions Write a Review

NPPES record last updated: February 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Physiatric Pain & Medical Rehabilitation Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSIATRIC PAIN & MEDICAL REHABILITATION CLINIC PA (NPI 1205012325) is a healthcare organization registered as a pain medicine in Orlando, Florida and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Nnamdi Nwaogwugwu, President, as its authorized official.

NPPES Registry Identity

NPI1205012325

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NamePHYSIATRIC PAIN & MEDICAL REHABILITATION CLINIC PA

Location Address882 S KIRKMAN RD STE 305Orlando, FL 32811-2652

Mailing Address882 South Kirkman Road, Ste 305Orlando, FL 32811 · (407) 291-3077

Phone(407) 291-3077

Organization SubpartNo

Authorized OfficialNnamdi NwaogwugwuPresident · (407) 291-3077

Enumeration DateJanuary 18, 2008

Last NPPES UpdateFebruary 21, 2011

✔ NPI 1205012325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in FL · ME76735

Definition

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.

882 S KIRKMAN RD STE 305, Orlando, FL 32811

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2022642

Physiatric Pain & Medical Rehabilitation Clinic PA · Orlando, FL

Active · expires Apr 5, 2027

CLIA Number10D2022642

Laboratory TypePhysician Office

Certificate Effective DateApril 6, 2025

Certificate Expiration DateApril 5, 2027

Laboratory DirectorNnamdi C. Nwaogwugwu

Laboratory Phone(407) 291-3077

Laboratory LocationPhysiatric Pain & Medical Rehabilitation Clinic PA882 S Kirkman Rd Ste 305, Orlando, FL 32811

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physiatric Pain & Medical Rehabilitation Clinic PA's NPI number?

The NPI number for Physiatric Pain & Medical Rehabilitation Clinic PA is 1205012325. It was assigned to this organization in the NPPES registry on January 18, 2008.

Where is Physiatric Pain & Medical Rehabilitation Clinic PA located?

Physiatric Pain & Medical Rehabilitation Clinic PA is located at 882 S Kirkman Rd Ste 305, Orlando, FL 32811. The listed phone number is (407) 291-3077.

What is Physiatric Pain & Medical Rehabilitation Clinic PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does Physiatric Pain & Medical Rehabilitation Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2022642) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Physiatric Pain & Medical Rehabilitation Clinic PA was last updated on February 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.