Organization Active NPI

Center for Pain Relief and Longevity

  • Multi-Specialty Clinic/Center
  • Butler, PA
National Provider Identifier
1134765787
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CENTER FOR PAIN RELIEF AND LONGEVITY
Practice address
227 S Chestnut St
Butler, PA 16001-5819
Phone
(724) 431-4444
Fax
(724) 284-1101
NPI assigned
Nov 19, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Judy Irene Sankey
Title
Office Manager
Phone
(724) 284-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

227 S Chestnut St
Butler, PA 16001-5819

Mailing address

227 S Chestnut St
Butler, PA 16001-5819
Phone (724) 431-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200217001363 PA DME Supplier - Physician - General Practice 9537596358 Practice locations: Butler, PA

National Provider Directory

National Provider Directory

Locations

227 S Chestnut St
Butler, PA 16001
Phone (724) 284-1111

Practitioners & affiliated clinicians

Practitioners 6

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": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1134765787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S CHESTNUT ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015819",
            "telephone_number": "724-431-4444",
            "fax_number": "724-284-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S CHESTNUT ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015819",
            "telephone_number": "724-431-4444",
            "fax_number": "724-284-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PAIN RELIEF AND LONGEVITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "SANKEY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-284-1111"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.