Painx Joint- Revitalization Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAINX JOINT- REVITALIZATION INC

Practice address

62 N Stapley Dr Ste B
Mesa, AZ 85203-8845

Phone

(602) 828-6705

Fax

(602) 581-7160

NPI assigned

Jun 4, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Amaya, PA-C

Title

Physician Assistant

Phone

(602) 828-6705

Specialties & licenses 3

Addresses

Other names 1

• PainX Other name

Locations

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1306404454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 N STAPLEY DR STE B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038845",
            "telephone_number": "602-828-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 N STAPLEY DR STE B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038845",
            "telephone_number": "602-828-6705",
            "fax_number": "602-581-7160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1038 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852013926",
            "country_code": "US",
            "telephone_number": "602-828-6705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAINX JOINT- REVITALIZATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "AMAYA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "602-828-6705",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PainX",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PainX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pain Experts of Arizona PC
• Pain Management & Rehabilitation Medicine Center PC
• Pain Stop Accident Injury LLC
• Jayakrishna Paineni
• Megan K Painter, FNP-BC, APNP
• Pairing Care LLC
• Justine Pak, LMFT
• Daniela G Pal, PA-C
• Cheryl T Palazza Demaio, LPC
• Amanda Maureen Palazzolo, DNP, FNP-C

• Pain Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pain Medicine Physician in Arizona

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