Scars and Pain Management Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SCARS AND PAIN MANAGEMENT THERAPY LLC

Practice address

112 Worley Rd
Marion, NC 28752-9157

Phone

(182) 842-3923

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sofia Mironova, DPT

Title

Physical Therapist, Practice Organ

Phone

(828) 423-9232

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1063002582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WORLEY RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287529157",
            "telephone_number": "828-423-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WORLEY RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287529157",
            "telephone_number": "182-842-3923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Worley Rd",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287529157",
            "country_code": "US",
            "telephone_number": "182-842-3923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCARS AND PAIN MANAGEMENT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "MIRONOVA",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST,  PRACTICE ORGAN",
        "authorized_official_telephone_number": "828-423-9232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathrine Rucker, LCSWA
• Megan Russ, LPC, NCC
• Rutherford-Polk-McDowell District Health Department
• Suryanarayana R Sagi
• Payton Brooke Saine, LCMHCA
• Jennifer Ann Schirner, PA-C
• Teresa Gay Schism
• Marisa Scott
• David Seidenberg, LCSW
• John Selph, DMD

• Physical Therapy Clinic/Center in Marion, NC
• Providers in Marion, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.