Pain and Sleep Therapy Center LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PAIN AND SLEEP THERAPY CENTER LLC

Practice address

1149 W Lancaster Ave Ste 5
Bryn Mawr, PA 19010-2722

Phone

(302) 299-5617

NPI assigned

Mar 23, 2022

Last updated

Mar 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carly Jacobs, DDSNPI 1336509256

Title

Chief Clinical Director

Phone

(302) 299-5617

Specialties & licenses 1

Addresses

Tax ID family

Pain and Sleep Therapy Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pain and Sleep Therapy Center LLC

  • Public Health Dentistry
  • Bryn Mawr, PA
  • NPI 1679222343
  NPD tax ID

Locations

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.

• Carly Jacobs, DMD

  • Dentist
  • Bryn Mawr, PA
  • NPI 1336509256
  Authorized official Same address or phone

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1144979485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CHURCHMANS RD STE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021945",
            "telephone_number": "302-299-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 W LANCASTER AVE STE 5",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102722",
            "telephone_number": "302-299-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND SLEEP THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "CHIEF CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "302-299-5617",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pace Foot and Ankle Centers PLLC
• Pace Foot and Ankle Centers PLLC
• Vanessa Rae Paddock, M.A. CCC-SLP
• Kristin Egan Page, M.S.ED., NCC
• Gina Anne Pagotto, CRNP
• Pain and Sleep Therapy Center LLC
• Jamilia Nicole Parker, MFT
• Diane E Parkin, CRNA
• Ellen M. Parris, LCSW
• Pass and Stow Psychiatry PLLC

• Durable Medical Equipment & Medical Supplies in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.