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Pain Care & Rehab Center, PLLC

Physical Medicine & Rehabilitation, Pain Medicine in Tampa, FL. Organization (NPI-2).

NPI number1396972006
StatusActive
Last updated in NPPESJul 14, 2025

Details

NPI
1396972006
Entity type
Organization (NPI-2)
Legal business name
Pain Care & Rehab Center, PLLC
Organization subpart
No
Enumeration date
Jun 20, 2009
Certification date
Jul 14, 2025
Last updated
Jul 14, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine––Yes
207Q00000X Family Medicine––
208VP0014X Pain Medicine, Interventional Pain Medicine––

Other names

  • Physical Medicine Clinic (Doing Business As)

Practice location

8441 W Linebaugh Ave
Tampa, FL 33625-3729

Phone 813-792-4804 · Fax 813-926-0404

Mailing address

8441 W Linebaugh Ave
Tampa, FL 33625-3729

Phone 813-792-4804 · Fax 813-926-0404

Authorized official

Liyu Liu
Director
8047870858

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Tampa, FL

All 24 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Tampa · All 35,121 providers in Tampa

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