Outpatient Pain & Wellness Center, Inc.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH7977 Issued in FL

Legal business name

OUTPATIENT PAIN & WELLNESS CENTER, INC.

Doing business as

Outpatient Pain & Wellness Center

Practice address

4602 N Armenia Ave
Suite B5
Tampa, FL 33603-2626

Phone

(813) 874-6600

Fax

(813) 874-6601

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Clements, D.O

Title

President

Phone

(813) 874-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Outpatient Pain & Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1184861148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 N ARMENIA AVE",
            "address_2": "SUITE B5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032626",
            "telephone_number": "813-874-6600",
            "fax_number": "813-874-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 N ARMENIA AVE",
            "address_2": "SUITE B5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032626",
            "telephone_number": "813-874-6600",
            "fax_number": "813-874-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT PAIN & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-874-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH7977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382225700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Pain & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.