PHYSICAL MEDICINE & REHAB OF BREVARD, P.A.
NPI 1609145580
Physical Medicine & Rehabilitation in Rockledge, FL
About Physical Medicine & Rehab Of Brevard, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSICAL MEDICINE & REHAB OF BREVARD, P.A. (NPI 1609145580) is a healthcare organization registered as a physical medicine & rehabilitation in Rockledge, Florida and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Antonio Rivera, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 10D2052822
Physical Medicine And Rehab Of Brevard PA · Rockledge, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Physical Medicine & Rehab Of Brevard, P.A.'s NPI number?
The NPI number for Physical Medicine & Rehab Of Brevard, P.A. is 1609145580. It was assigned to this organization in the NPPES registry on December 21, 2011.
Where is Physical Medicine & Rehab Of Brevard, P.A. located?
Physical Medicine & Rehab Of Brevard, P.A. is located at 840 Executive Ln Ste 120, Rockledge, FL 32955. The listed phone number is (321) 449-1112.
What is Physical Medicine & Rehab Of Brevard, P.A.'s specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Does Physical Medicine & Rehab Of Brevard, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2052822) is associated with this NPI, valid through January 17, 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 Physical Medicine & Rehab Of Brevard, P.A. was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.