Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pain and Spine Physio Rehab LLC

Organization Physical Therapist · NPI 1073918371

Pain and Spine Physio Rehab LLC is a Physical Therapist 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
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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