Prima Pain Therapy Group, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRIMA PAIN THERAPY GROUP, INC

Practice address

505 Shatto PL
# 200
Los Angeles, CA 90020-1754

Phone

(213) 736-0450

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Martin Andrade, P.TNPI 1336212935

Title

Ceo

Phone

(213) 736-0450

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Andrade, DPT

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1336212935
  NPD (past) Authorized official

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1275712341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SHATTO PL",
            "address_2": "# 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201754",
            "telephone_number": "213-736-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SHATTO PL",
            "address_2": "# 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201754",
            "telephone_number": "213-736-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA PAIN THERAPY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-736-0450",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul R. Prieto, MD
• Mario Manuel Prietto, L.C.S.W.
• Alyssa C Prigge
• Yigal Prilutsky, D.M.D.
• Prim Health Services Inc
• Primary Care Consulting a Medical Corp
• Primary Care Health Clinic
• Primary Group Solutions Foundation Inc
• Primary Group Solutions, LLC
• Primary Hospice Care Services, Inc.

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.