Innovative Physiatry Spine Clinic, LLC
NPI 1487175881 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · St Johns, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Physiatry Spine Clinic, LLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in St Johns, FL (NPI 1487175881).
Provider details
- NPI number
- 1487175881
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Seck Lim, Practice Administrator(904) 671-0288
- License
- OS12124 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2017-07-06
- Last updated
- 2021-09-02
- Certified
- 2021-09-02
Frequently asked questions
- What is Innovative Physiatry Spine Clinic, LLC's NPI number?
- Innovative Physiatry Spine Clinic, LLC's National Provider Identifier (NPI) is 1487175881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Physiatry Spine Clinic, LLC?
- Innovative Physiatry Spine Clinic, LLC is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Physiatry Spine Clinic, LLC located?
- Innovative Physiatry Spine Clinic, LLC's practice location on file with NPPES is 165 Durbin Station Ct Ste 601, St Johns, FL 32259-9370.
- What is Innovative Physiatry Spine Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Physiatry Spine Clinic, LLC is (904) 671-0288.
- Does Innovative Physiatry Spine Clinic, LLC accept Medicare?
- Innovative Physiatry Spine Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Physiatry Spine Clinic, LLC?
- The authorized official listed on Innovative Physiatry Spine Clinic, LLC's NPPES record is Seck Lim, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Physiatry Spine Clinic, LLC's NPI active?
- Yes — Innovative Physiatry Spine Clinic, LLC's NPI (1487175881) is active in the NPPES registry as of the last update on 2021-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.