Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pain and Spine Physio Rehab LLC

Organization Physical Therapist · NPI 1073918371

Pain and Spine Physio Rehab LLC provides Physical Therapist services in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Southpark Blvd Ste 408 B
St Augustine, FL 32086-5189 Not confirmed with CMS for 11 years — call before visiting
Phone: (518) 407-3422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7862 (FL)
Rehabilitation Clinic/Center Taxonomy 261QR0400X · Licence PT0007862 (FL)

Record details

NPI number1073918371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Regino Irwin Reyes — Ambr · (518) 407-3422
NPI enumeratedOctober 29, 2014
Last updated in NPPESMarch 24, 2015
Mailing address100 Southpark Blvd, Suite 408-B, St Augustine, FL 32086-5189

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