Active NPI
Pain & Ortho Products, LLC
- Durable Medical Equipment & Medical Supplies
- N Little Rock, AR
National Provider Identifier
1104260629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PAIN & ORTHO PRODUCTS, LLC
- Practice address
- 4628 East 43Rd
N Little Rock, AR 72117 - Phone
- (501) 319-7659
- NPI assigned
- Apr 26, 2013
- Last updated
- Oct 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Galloway, PT
- Title
- Owner
- Phone
- (501) 319-7659
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
4628 East 43Rd
N Little Rock, AR 72117
Mailing address
4628 E 43Rd St
N Little Rock, AR 72117
Phone (501) 916-2441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130830000775 | AR | DME Supplier - Independently-Practicing Physical Therapist | 0446493910 | Practice locations: N Little Rock, AR |
National Provider Directory
National Provider DirectoryLocations
4628 E 43rd St
North Little Rock, AR 72117
Phone (501) 319-7659
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- North Little Rock, AR
- NPI 1538129812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570147200000",
"number": "1104260629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4628 E 43RD ST",
"city": "N LITTLE ROCK",
"state": "AR",
"postal_code": "72117",
"telephone_number": "501-916-2441",
"fax_number": "866-804-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4628 EAST 43RD",
"city": "N LITTLE ROCK",
"state": "AR",
"postal_code": "72117",
"telephone_number": "501-319-7659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN & ORTHO PRODUCTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-26",
"last_updated": "2019-10-04",
"status": "A",
"authorized_official_last_name": "GALLOWAY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-319-7659",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Little Rock, AR
- North Little Rock Primary Care and Diagnostic Clinic PLLC
- North LR Medical Imaging LLC
- Van S O'Dell, DDS
- Stephanie Rebekah Oldham, MS, OTR/L
- Anthony P Owen, PHARMD
- Nancy Elaine Patterson, CCC-SLP
- Kandyse Payne, CNA
- Peter Grant Singer, M.D., P.a. (North Little Rock Dermatology Clinic)
- Gary Michael Petrus, MD
- Meredith A Pollock, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.