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INTERVENTIONAL REHABILITATION CENTER, LLC
NPI 1205839487
Clinic/Center - Ambulatory Surgical in Pensacola, FL

Active since May 23, 2005CLIA 10D0938919 · Waiver
1549 AIRPORT BLVD, STE 420, PENSACOLA, FL 32504(850) 484-8800(850) 484-6020 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Interventional Rehabilitation Center, Llc NPPES

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

INTERVENTIONAL REHABILITATION CENTER, LLC (NPI 1205839487), doing business as Pensacola Children's Surgery Center, is a healthcare organization registered as an ambulatory surgical in Pensacola, Florida and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Devin Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205839487
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameINTERVENTIONAL REHABILITATION CENTER, LLC
Location Address1549 AIRPORT BLVD, STE 420Pensacola, FL 32504-8633
Mailing Address9709 Lakeside Blvd Ste 350Spring, TX 77381-1216 · (713) 489-2198 · Fax (713) 489-2978
Phone(850) 484-8800
Fax(850) 484-6020
Organization SubpartNo
Authorized OfficialDevin LarsenCeo · (208) 340-1840
Enumeration DateMay 23, 2005
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1205839487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in FL · 1061
1549 AIRPORT BLVD, Pensacola, FL 32504
Open in Google Maps ↗

Other Names 1

Doing Business AsPensacola Children's Surgery Center

Other Identifiers 2

Medicaid126892800FL
Other1061FL · License

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 10D0938919

Interventional Rehabilitation Center LLC Dba Pensacola Children's Surgery Center · Pensacola, FL
Active · expires Jan 15, 2028
CLIA Number10D0938919
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorJamie L. Heater
Laboratory Phone(850) 484-8800
Laboratory LocationInterventional Rehabilitation Center LLC Dba Pensacola Children's Surgery Center1549 N Airport Blvd Ste 420, Pensacola, FL 32504
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WENDY W OSBAN DO
Family Medicine
1549 AIRPORT BLVD
PENSACOLA, FL 32504
Escambia County (850) 416-7008
DR. JUNG Y GORTON MD
Internal Medicine
1549 AIRPORT BLVD
PENSACOLA, FL 32504
Escambia County (850) 416-7013
DR. CHRISTOPHER MICHAEL MIDDENDORF D.O.
Anesthesiology (Pain Medicine)
1549 AIRPORT BLVD, SUITE 430
PENSACOLA, FL 32504
Escambia County (850) 416-2686
JOSIE BLASIUS
Pharmacist (Ambulatory Care)
1549 AIRPORT BLVD
PENSACOLA, FL 32504
Escambia County (850) 416-9057
SACRED HEART HEALTH SYSTEM, INC.
Clinic/Center (Primary Care)
1549 AIRPORT BLVD, 200A
PENSACOLA, FL 32504
Escambia County (840) 416-4600
LAURA ALISE MEARS ARNP
Nurse Practitioner (Adult Health)
1549 AIRPORT BLVD, 440
PENSACOLA, FL 32504
Escambia County (850) 598-4142
CHARLES P. RILEY MD PA
Internal Medicine (Cardiovascular Disease)
1549 AIRPORT BLVD, SUITE 410
PENSACOLA, FL 32504
Escambia County (850) 477-4342
DR. RICKY LEE BELLARD MD
Family Medicine
1549 AIRPORT BLVD, 310
PENSACOLA, FL 32504
Escambia County (850) 416-7008

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 Interventional Rehabilitation Center, LLC's NPI number?

The NPI number for Interventional Rehabilitation Center, LLC is 1205839487. It was assigned to this organization in the NPPES registry on May 23, 2005. The provider is doing business as Pensacola Children's Surgery Center.

Where is Interventional Rehabilitation Center, LLC located?

Interventional Rehabilitation Center, LLC is located at 1549 Airport Blvd Ste 420, Pensacola, FL 32504. The listed phone number is (850) 484-8800.

What is Interventional Rehabilitation Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Interventional Rehabilitation Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0938919) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Interventional Rehabilitation Center, LLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.