PHYSICAL MEDICINE AND PAIN MANAGEMENT SPECIALIST INC NPI 1144374976

NPI Information

NPI: 1144374976
Provider Name: PHYSICAL MEDICINE AND PAIN MANAGEMENT SPECIALIST INC
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
2770 S MARYLAND PKWY STE 215
LAS VEGAS, NV
ZIP 89109
Phone: (702) 248-6850
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PHYSICAL MEDICINE AND PAIN MANAGEMENT SPECIALIST INC is a rehabilitation practitioner in Las Vegas, NV. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. PHYSICAL MEDICINE AND PAIN MANAGEMENT SPECIALIST INC NPI is 1144374976. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2770 S MARYLAND PKWY STE 215
LAS VEGAS, NV
ZIP 89109-565
Phone: (702) 248-6850
Fax: (702) 685-7242

The provider's authorized official is Emmanuel Galang Acosta .
The authorized official title is President and has the following contact phone number (702) 248-6850.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner		10462	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10462	OTHER	NEVADA	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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