Pain Rehab Products, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PAIN REHAB PRODUCTS, INC.

Practice address

2339 Weldon Pkwy
Saint Louis, MO 63146-3207

Phone

(314) 832-7246

Fax

(314) 832-1430

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Greggory Fixley

Title

President

Phone

(314) 832-7246

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Abf/Romcare Health Services, L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Sunset Hills, MO
  • NPI 1528016714

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1306930466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 WELDON PKWY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463207",
            "telephone_number": "314-832-7246",
            "fax_number": "314-832-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 WELDON PKWY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463207",
            "telephone_number": "314-832-7246",
            "fax_number": "314-832-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN REHAB PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "FIXLEY",
        "authorized_official_first_name": "GREGGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-832-7246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "141100500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "151181",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626185300",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "39466",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF THE",
            "identifier": "8200174",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "450099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron David Paige
• Han Paik
• Pain and Performance Relief LLC
• Pain Care Innovations
• Pain Management Partners LLC
• Pain Relief Center of St Louis LLC
• Pain Treatment Center Inc
• Marilyn Jeanne Kastner Painter, MS CCC SLP
• Pairidex Inc.
• Julia Pakey, MD

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.