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

Southern Pain and Rehabilitation Inc

Organization Physical Medicine & Rehabilitation Physician · NPI 1295377497

Southern Pain and Rehabilitation Inc is a Physical Medicine & Rehabilitation Physician in Paducah, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5925 Old Hwy 60 Ste D
Paducah, KY 42001
Phone: (270) 228-0118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1295377497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ruxer — President · (812) 639-9453
Other names Elite Pain And Spine
NPI enumeratedOctober 9, 2019
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address5925 Old Hwy 60 West, Suite D, Paducah, KY 42001-9647

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