Global Pain Clinic LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GLOBAL PAIN CLINIC LLC

Doing business as

Revival Physical Therapy

Practice address

488 N 100 W
Blanding, UT 84511-3505

Phone

(801) 400-2233

NPI assigned

Feb 3, 2022

Last updated

Feb 3, 2022By 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

Byron MoreyNPI 1710503651

Title

Ceo/Physical Therapist

Phone

(801) 400-2233

Specialties & licenses 1

Addresses

Other names 1

• Revival Physical Therapy Doing business as

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.

• Byron Morey

  • Physical Therapist
  • Trenton, GA
  • NPI 1710503651
  NPD Authorized official

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1184378630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 N 100 W",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113505",
            "telephone_number": "801-400-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 N 100 W",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113505",
            "telephone_number": "801-400-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "MOREY",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-400-2233"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revival Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Blanding, UT
• Providers in Blanding, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.