SOUTHERN PAIN AND REHABILITATION INC – NPI #1295377497
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.

SOUTHERN PAIN AND REHABILITATION INC is a provider located in PADUCAH, KY. NPPES has assigned the NPI number 1295377497 to SOUTHERN PAIN AND REHABILITATION INC on October 09, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Sep 17, 2025. 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 SOUTHERN PAIN AND REHABILITATION INC below.

NPI Profile for
SOUTHERN PAIN AND REHABILITATION INC

NPI Number
1295377497
Enumeration Date

(more than 6 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
SOUTHERN PAIN AND REHABILITATION INC
Primary location
5925 OLD HWY 60
STE D
PADUCAH, KY 42001
Phone: (270) 228-0118 Fax:
Mailing address
5925 OLD HWY 60 WEST
SUITE D
PADUCAH, KY 42001-9647
Phone: (270) 228-0118 Fax:
Organization Subpart
No
Authorized Official
JOHN RUXER
PRESIDENT
Phone: (812) 639-9453
Updated
Certification Date
Sep 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.