Physical Medicine and Pain Management Specialist Inc

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

10462 Issued in NV

Legal business name

PHYSICAL MEDICINE AND PAIN MANAGEMENT SPECIALIST INC

Practice address

2770 S Maryland Pkwy Ste 215
Las Vegas, NV 89109-1565

Phone

(702) 248-6850

Fax

(702) 685-7242

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Galang Acosta, M.D.

Title

President

Phone

(702) 248-6850

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1144374976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY STE 215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091565",
            "telephone_number": "702-248-6850",
            "fax_number": "702-685-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY STE 215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091565",
            "telephone_number": "702-248-6850",
            "fax_number": "702-685-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE AND PAIN MANAGEMENT SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "GALANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-248-6850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "NV",
            "license": "10462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "10462",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vernica Phyffer
• Latiffany Phyfiher
• Sheree Lashawn Phylow, LPN
• Su Phyo
• Physical Medicine and Pain Management of Nevada, LLC (Physical Medicine & Pain Management of Nevada, LLC)
• Physical Medicine Associates, SC
• Physical Therapy by Olivia LLC
• Physician Assistant Surgical Specialists
• Physician to You LLC
• Physicians Choice Hospice LLC

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.