OrganizationActive
Interventional Rehabilitation Center, LLC
NPI 1205839487 · Ambulatory Surgical Clinic/Center · Pensacola, FL
Provider details
- NPI number
- 1205839487
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Devin Larsen, Ceo(208) 340-1840
- License
- 1061 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1549 Airport Blvd
Ste 420
Pensacola, FL 32504-8633
Phone: (850) 484-8800
Fax: (850) 484-6020
Street-level locationGet directions
Mailing address
9709 Lakeside Blvd Ste 350
Spring, TX 77381-1216
Other names (DBA / former)
- Doing business as
- Pensacola Children'S Surgery Center
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.