Organization Active NPI

Applied Pain Associates, PLLC

  • Specialist
  • Fort Worth, TX
National Provider Identifier
1194019836
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
APPLIED PAIN ASSOCIATES, PLLC
Practice address
1001 12TH Ave
Suite 172
Fort Worth, TX 76104-3926
Phone
(817) 328-1010
Fax
(817) 472-2188
NPI assigned
May 28, 2011
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Rosemary Arocha
Title
Administrator
Phone
(817) 328-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1001 12TH Ave
Suite 172
Fort Worth, TX 76104-3926

Mailing address

1001 12TH Ave
Suite 172
Fort Worth, TX 76104-3926
Phone (817) 472-2189

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111020000338 TX Part B Supplier - Clinic/Group Practice 1456523299 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

1001 12th Ave
Ste 172
Fort Worth, TX 76104
Phone (817) 328-1010

Practitioners & affiliated clinicians

Practitioners 2

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": "1306540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1194019836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE",
            "address_2": "SUITE 172",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-472-2189",
            "fax_number": "817-472-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE",
            "address_2": "SUITE 172",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-328-1010",
            "fax_number": "817-472-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED PAIN ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-28",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "AROCHA",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-328-1010"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.