INTERVENTIONAL REHABILITATION CENTER, LLC
NPI 1205839487
Clinic/Center - Ambulatory Surgical in Pensacola, FL
NPI Status: Active since May 23, 2005
Contact Information
1549 AIRPORT BLVD
STE 420
PENSACOLA, FL
ZIP 32504
Phone: (850) 484-8800
Fax: (850) 484-6020
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 10D0938919
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 01-15-2028
About INTERVENTIONAL REHABILITATION CENTER, LLC
This page provides the complete NPI Profile along with additional information for Interventional Rehabilitation Center, Llc, a provider established in Pensacola, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1205839487 assigned on May 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 1061 (FL). The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Devin Larsen (Ceo)
- NPI
- 1205839487
- Provider Name
- INTERVENTIONAL REHABILITATION CENTER, LLC
- Entity Type
- Organization
- Location Address
- 1549 AIRPORT BLVD STE 420 PENSACOLA, FL 32504
- Location Phone
- (850) 484-8800
- Location Fax
- (850) 484-6020
- Mailing Address
- 9709 LAKESIDE BLVD STE 350 SPRING, TX 77381
- Mailing Phone
- (713) 489-2198
- Mailing Fax
- (850) 484-6020
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-23-2005
- Last Update Date
- 03-16-2026
- 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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1061
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126892800 | MEDICAID (05) | FL | |
| 1061 | OTHER (01) | FL | LICENSE |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
This service was performed 28 times for 13 patientsCLIA 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
- 10D0938919
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- January 16, 2026
- Certificate Expiration Date
- January 15, 2028
- Laboratory Director
- JAMIE L. HEATER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Interventional Rehabilitation Center, Llc 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 1205839487, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PENSACOLA, FL 32504
PENSACOLA, FL 32504
PENSACOLA, FL 32504
PENSACOLA, FL 32504
PENSACOLA, FL 32504
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205839487, enumerated as an "organization" on May 23, 2005.
The provider is located at 1549 AIRPORT BLVD STE 420 PENSACOLA, FL 32504 and the phone number is (850) 484-8800.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
