NPIMap

Organization Active NPI

Cy Pain and Rehab PLLC

Doing business as Excalibur Pain and Rehab

  • Pain Clinic/Center
  • Carrollton, TX
National Provider Identifier
1255972972
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
CY PAIN AND REHAB PLLC
Doing business as
Excalibur Pain and Rehab
Practice address
4541 N Josey LN Ste 230
Carrollton, TX 75010-4781
Phone
(214) 506-0904
Fax
(888) 366-2632
NPI assigned
Oct 3, 2019
Last updated
Mar 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Chau Uong, DONPI 1134461320
Title
Physician
Phone
(214) 641-5777

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary
Rehabilitation Clinic/Center 261QR0400X NU

Addresses

Primary practice location

4541 N Josey LN Ste 230
Carrollton, TX 75010-4781

Mailing address

4541 N Josey LN Ste 230
Carrollton, TX 75010-4781
Phone (214) 506-0904

Other names 1

  • Excalibur Pain and Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

4541 N Josey Ln
#R
Carrollton, TX 75010
Phone (214) 506-0904

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22620/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1255972972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 230",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104781",
            "telephone_number": "214-506-0904",
            "fax_number": "888-366-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 230",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104781",
            "telephone_number": "214-506-0904",
            "fax_number": "888-366-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CY PAIN AND REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "UONG",
        "authorized_official_first_name": "CHAU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-641-5777",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excalibur Pain and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Excalibur Pain and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.