Active NPI
Pain Treatment Specialists
- Interventional Pain Medicine Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME132254
- Legal business name
- PAIN TREATMENT SPECIALISTS
- Practice address
- 2601 E Oakland Park Blvd Ste 200
Fort Lauderdale, FL 33306 - Phone
- (617) 314-0603
- NPI assigned
- May 31, 2018
- Last updated
- Jun 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Youmna Distefano, MD
- Title
- Managing Director
- Phone
- (617) 314-0603
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME132254 | FL | |
| Pain Medicine Physician | 208VP0000X | ME132254 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME132254 | FL | Primary |
Addresses
Primary practice location
2601 E Oakland Park Blvd Ste 200
Fort Lauderdale, FL 33306
Mailing address
2601 E Oakland Park Blvd Ste 200
Fort Lauderdale, FL 33306-1612
Phone (954) 500-7246
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2155642 | Pain Treatment Specialists | Certificate of waiver | Oct 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
2601 E Oakland Park Blvd
Ste 200
Fort Lauderdale, FL 33306
Phone (617) 314-0603
Practitioners & affiliated clinicians
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.
-
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
- NPI 1851687750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528156800000",
"number": "1215429717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 E OAKLAND PARK BLVD STE 200",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061612",
"telephone_number": "954-500-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E OAKLAND PARK BLVD STE 200",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33306",
"telephone_number": "617-314-0603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN TREATMENT SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-31",
"last_updated": "2018-06-05",
"status": "A",
"authorized_official_last_name": "DISTEFANO",
"authorized_official_first_name": "YOUMNA",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "617-314-0603",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME132254",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME132254",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME132254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Myriam Paillant, RRT
- Pain and Spine Specialists of Florida
- Pain Management Clinics of Florida, LLC
- Pain Relief Solutions
- Pain Relief Solutions, LLC (Advanced Relief Institute)
- Jessie Silva Painter, D.C
- Rochelle Paisley
- Cesar Candelaria Pajarillaga, PT
- Roger Karl Pajunen, CRNA
- Anusri Anil Pakhare, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.