SPINE, SPORT & PHYSICAL MEDICINE CENTER, LLC
NPI 1740662410
Physical Medicine & Rehabilitation - Pain Medicine in Sarasota, FL

Q: What is Spine, Sport & Physical Medicine Center, LLC's specialty?

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

Active since June 18, 2015

2030 BEE RIDGE RD, SUITE B, SARASOTA, FL 34239(941) 845-0233(941) 538-6063 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Spine, Sport & Physical Medicine Center, Llc NPPES

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

SPINE, SPORT & PHYSICAL MEDICINE CENTER, LLC (NPI 1740662410) is a healthcare organization registered as a pain medicine in Sarasota, Florida and active in the NPI registry since June 2015. The organization maintains a secondary practice location in Bradenton and lists Carlos A Diaz, Owner, as its authorized official.

NPPES Registry Identity

NPI1740662410

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NameSPINE, SPORT & PHYSICAL MEDICINE CENTER, LLC

Location Address2030 BEE RIDGE RD, SUITE BSarasota, FL 34239-6108

Mailing Address2030 Bee Ridge Rd, Suite BSarasota, FL 34239-6108 · (941) 845-0233 · Fax (941) 538-6063

Phone(941) 845-0233

Fax(941) 538-6063

Organization SubpartNo

Authorized OfficialCarlos A DiazOwner · (941) 809-5794

Enumeration DateJune 18, 2015

Last NPPES UpdateFebruary 5, 2025

NPPES CertifiedFebruary 5, 2025

✔ NPI 1740662410 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.

2030 BEE RIDGE RD, Sarasota, FL 34239

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Secondary Practice Location 1

Location 16060 State Road 70 E Unit DBradenton, FL 34203-9719 · Phone (941) 845-0233 · Fax (941) 538-6063

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine, Sport & Physical Medicine Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spine, Sport & Physical Medicine Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Carlos Diaz, MD

Physical Medicine and Rehabilitation

NPI 1730121682

2030 BEE RIDGE RD SUITE B
Sarasota, FL 34239

(941) 845-0233

✔ PECOS✔ Accepts MedicareSame address

Steven Gaeta, DC

Chiropractic

NPI 1205803038

2030 BEE RIDGE RD STE B
Sarasota, FL 34239

(941) 845-0233

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Spine, Sport & Physical Medicine Center, LLC's NPI number?

The NPI number for Spine, Sport & Physical Medicine Center, LLC is 1740662410. It was assigned to this organization in the NPPES registry on June 18, 2015.

Where is Spine, Sport & Physical Medicine Center, LLC located?

Spine, Sport & Physical Medicine Center, LLC is located at 2030 Bee Ridge Rd Suite B, Sarasota, FL 34239. The listed phone number is (941) 845-0233.

What is Spine, Sport & Physical Medicine Center, LLC's specialty?

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

Is Spine, Sport & Physical Medicine Center, LLC enrolled in Medicare?

Yes. Spine, Sport & Physical Medicine Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine, Sport & Physical Medicine Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Spine, Sport & Physical Medicine Center, LLC, in Chiropractic and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spine, Sport & Physical Medicine Center, LLC was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.