Organization Active NPI

Pain and Rehabilitation Technologies

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1013021641
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PAIN AND REHABILITATION TECHNOLOGIES
Practice address
8400 Miramar Rd Ste 203a
San Diego, CA 92126-4387
Phone
(619) 704-0550
Fax
(619) 695-0272
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Camille Thudium
Title
President
Phone
(619) 794-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8400 Miramar Rd Ste 203a
San Diego, CA 92126-4387

Mailing address

8400 Miramar Rd Ste 203a
San Diego, CA 92126-4387
Phone (619) 794-3145

National Provider Directory

National Provider Directory

Locations

8400 Miramar Rd
Ste 203A
San Diego, CA 92126
Phone (619) 704-0550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1013021641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 MIRAMAR RD STE 203A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264387",
            "telephone_number": "619-794-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 MIRAMAR RD STE 203A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264387",
            "telephone_number": "619-704-0550",
            "fax_number": "619-695-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND REHABILITATION TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "THUDIUM",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-794-3145"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.