Integrated Pain Relief, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

INTEGRATED PAIN RELIEF, LLC

Practice address

4161 S Eastern Ave Ste A9
Las Vegas, NV 89119-5425

Phone

(702) 948-2520

Fax

(702) 948-2523

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Jon Petrick, DCNPI 1083763502

Title

President & Ceo

Phone

(702) 948-2520

Specialties & licenses 1

Addresses

Other names 1

• Integrated Pain Relief Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon S Petrick, DC

  • Chiropractor
  • Henderson, NV
  • NPI 1083763502
  NPD (past) Authorized official
• Nic Sparrow

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1629186945
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201910400000",
    "number": "1023219508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 S EASTERN AVE STE A9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195425",
            "telephone_number": "702-948-2520",
            "fax_number": "702-948-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 S EASTERN AVE STE A9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195425",
            "telephone_number": "702-948-2520",
            "fax_number": "702-948-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN RELIEF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-02-02",
        "status": "A",
        "authorized_official_last_name": "PETRICK",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "702-948-2520",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Pain Relief",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrated Life Management Services
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• Integrated Medical Group Inc
• Integrated Psychological LLC
• Integrated Psychological Services LLC
• Integrated Psychological Solutions LLC
• Integrated Solutions for Wellness
• Integrated Support Solutions

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; 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.