NPIMap

Organization Active NPI

Myofascial Pain Treatment Center, LLC

  • Pain Clinic/Center
  • Watertown, MA
National Provider Identifier
1275874760
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
RN234770 Issued in MA
Legal business name
MYOFASCIAL PAIN TREATMENT CENTER, LLC
Practice address
203 Arlington St
Suite 1
Watertown, MA 02472-2090
Phone
(781) 894-9430
NPI assigned
Mar 7, 2013
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Erika Bourne, R.N.NPI 1952640948
Title
Owner
Phone
(781) 894-9430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X RN234770 MA Primary

Addresses

Primary practice location

203 Arlington St
Suite 1
Watertown, MA 02472-2090

Mailing address

203 Arlington St
Suite 1
Watertown, MA 02472-2090
Phone (781) 894-9430

National Provider Directory

National Provider Directory

Locations

203 Arlington St
Ste 1
Watertown, MA 02472
Phone (781) 894-9430

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": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1275874760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ARLINGTON ST",
            "address_2": "SUITE 1",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722090",
            "telephone_number": "781-894-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 ARLINGTON ST",
            "address_2": "SUITE 1",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722090",
            "telephone_number": "781-894-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOFASCIAL PAIN TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-894-9430",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MA",
            "license": "RN234770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.