Organization Active NPI

Pain & Ortho Products, LLC

  • Durable Medical Equipment & Medical Supplies
  • N Little Rock, AR
National Provider Identifier
1104260629
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
John Galloway, PTNPI 1538129812
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20130830000775 AR DME Supplier - Independently-Practicing Physical Therapist 0446493910 Practice locations: N Little Rock, AR

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.