FUNCTIONAL REHABILITATION CENTER, LLC – NPI #1104068576
Physical Medicine & Rehabilitation

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.

FUNCTIONAL REHABILITATION CENTER, LLC is a provider located in MARRERO, LA. NPPES has assigned the NPI number 1104068576 to FUNCTIONAL REHABILITATION CENTER, LLC on April 01, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 16 years ago on Jun 17, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FUNCTIONAL REHABILITATION CENTER, LLC below.

NPI Profile for
FUNCTIONAL REHABILITATION CENTER, LLC

NPI Number
1104068576
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FUNCTIONAL REHABILITATION CENTER, LLC
Primary location
4520 WICHERS DR
SUITE202
MARRERO, LA 70072-3135
Phone: (504) 324-4337 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES SCHLOSSER
OWNER
Phone: (504) 324-4337
Updated
Identifiers

Identifiers for FUNCTIONAL REHABILITATION CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1038067
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
LA 026430

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.