PHYSICAL MEDICINE & REHAB OF BREVARD, P.A.
NPI 1609145580
Physical Medicine & Rehabilitation in Rockledge, FL

Active since December 21, 2011CLIA 10D2052822 · Waiver
840 EXECUTIVE LN STE 120, ROCKLEDGE, FL 32955(321) 449-1112(321) 449-1172 Get Directions Write a Review

NPPES record last updated: July 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1609145580
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NamePHYSICAL MEDICINE & REHAB OF BREVARD, P.A.
Location Address840 EXECUTIVE LN STE 120Rockledge, FL 32955-3519
Mailing Address840 Executive Ln Ste 120Rockledge, FL 32955-3519 · (321) 449-1112 · Fax (321) 449-1172
Fax(321) 449-1172
Organization SubpartNo
Authorized OfficialAntonio RiveraPresident · (321) 449-1112
Enumeration DateDecember 21, 2011
Last NPPES UpdateJuly 20, 2018
NPI 1609145580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
840 EXECUTIVE LN STE 120, Rockledge, FL 32955

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 10D2052822

Physical Medicine And Rehab Of Brevard PA · Rockledge, FL
Active · expires Jan 17, 2027
CLIA Number10D2052822
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorAntonio Rivera
Laboratory Phone(321) 449-1112
Laboratory LocationPhysical Medicine And Rehab Of Brevard PA840 Executive Lane, Ste 120, Rockledge, FL 32955
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physiological Laboratory
840 EXECUTIVE LN STE 120
ROCKLEDGE, FL 32955

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.