NPIMap

Organization Active NPI

Lake Arlington Center for Pain Management

Doing business as North Texas Pain Recovery Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Arlington, TX
National Provider Identifier
1023234887
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
LAKE ARLINGTON CENTER FOR PAIN MANAGEMENT
Doing business as
North Texas Pain Recovery Center
Practice address
6702 W Poly Webb Rd
Arlington, TX 76016-3615
Phone
(817) 478-0095
Fax
(817) 478-7628
NPI assigned
Apr 18, 2007
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Michael R WalkerNPI 1447381629
Title
Owner
Phone
(817) 478-0095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

6702 W Poly Webb Rd
Arlington, TX 76016-3615

Mailing address

6702 W Poly Webb Rd
Arlington, TX 76016-3615
Phone (817) 478-0095

Other names 1

  • North Texas Pain Recovery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100306000066 TX Part B Supplier - Clinic/Group Practice 3971648866 Receives reassigned benefits from 3 practitioners
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1023234887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 W POLY WEBB RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163615",
            "telephone_number": "817-478-0095",
            "fax_number": "817-478-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 W POLY WEBB RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163615",
            "telephone_number": "817-478-0095",
            "fax_number": "817-478-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ARLINGTON CENTER FOR PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-478-0095"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Texas Pain Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Texas Pain Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.