Liberty Pain Institute

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

0056860 Issued in CO

Legal business name

LIBERTY PAIN INSTITUTE

Practice address

2020 N Academy Blvd Ste 155
Colorado Springs, CO 80909-1569

Phone

(719) 219-2320

Fax

(719) 231-2321

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Agnes M Flaum, MD

Title

Owner/Medical Director

Phone

(719) 219-2320

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1134614936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD STE 155",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091569",
            "telephone_number": "719-219-2320",
            "fax_number": "719-231-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD STE 155",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091569",
            "telephone_number": "719-219-2320",
            "fax_number": "719-231-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "FLAUM",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "719-219-2320",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "0056860",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CO",
            "license": "0056860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Lynn Libengood, LCSW
• Carly C Liber, DOT, OTR/L
• Adam Ross Liberman, DMD
• David Reed Liberman
• Rachel Libert
• Libra Integrative Health LLC
• Caitlin Licano
• Alicia Licata
• Karina Liceaga
• Licensed Dental Hygiene Care

• Pain Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pain Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.