Space Coast Medical, LLC
NPI 1376807511 · Rehabilitation Clinic/Center · Barefoot Bay, FL
Space Coast Medical, LLC is a Rehabilitation Clinic/Center organization in Barefoot Bay, FL (NPI 1376807511).
Provider details
- NPI number
- 1376807511
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Lail, C.e.o.(321) 557-4667
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-07-03
- Last updated
- 2015-07-28
Frequently asked questions
- What is Space Coast Medical, LLC's NPI number?
- Space Coast Medical, LLC's National Provider Identifier (NPI) is 1376807511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space Coast Medical, LLC?
- Space Coast Medical, LLC is classified in the NPPES registry as Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Space Coast Medical, LLC located?
- Space Coast Medical, LLC's practice location on file with NPPES is 935 Barefoot Blvd, Barefoot Bay, FL 32976-7620.
- What is Space Coast Medical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Space Coast Medical, LLC is (321) 557-4667.
- Who is the authorized official for Space Coast Medical, LLC?
- The authorized official listed on Space Coast Medical, LLC's NPPES record is Jason Lail, C.e.o.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space Coast Medical, LLC's NPI active?
- Yes — Space Coast Medical, LLC's NPI (1376807511) is active in the NPPES registry as of the last update on 2015-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.