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RESTORE BRAIN SPORT AND SPINE
NPI 1376378091
Physical Medicine & Rehabilitation - Pain Medicine in Tampa, FL

Active since September 03, 2024
11603 SHELDON ROAD, TAMPA, FL 33626(516) 680-8080 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2025, Nov 12, 2024, Sep 3, 2024 (3 updates tracked since 2024).

About Restore Brain Sport And Spine NPPES

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

RESTORE BRAIN SPORT AND SPINE (NPI 1376378091) is a healthcare organization registered as a pain medicine in Tampa, Florida and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Tavares and lists Thomas Reilly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376378091
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameRESTORE BRAIN SPORT AND SPINE
Location Address11603 SHELDON ROADTampa, FL 33626
Mailing Address11603 Sheldon RdTampa, FL 33626-4306 · (727) 935-4142
Phone(516) 680-8080
Organization SubpartNo
Authorized OfficialThomas ReillyCeo · (516) 680-8080
Enumeration DateSeptember 3, 2024
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1376378091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
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.
11603 SHELDON ROAD, Tampa, FL 33626
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Secondary Practice Location 1

Location 12134 Vindale RdTavares, FL 32778-5602 · Phone (727) 935-4142 · Fax (727) 877-3667

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

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 Restore Brain Sport And Spine's NPI number?

The NPI number for Restore Brain Sport And Spine is 1376378091. It was assigned to this organization in the NPPES registry on September 3, 2024.

Where is Restore Brain Sport And Spine located?

Restore Brain Sport And Spine is located at 11603 Sheldon Road, Tampa, FL 33626. The listed phone number is (516) 680-8080.

What is Restore Brain Sport And Spine's specialty?

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

When was this NPI record last updated?

The NPPES record for Restore Brain Sport And Spine was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.