Active NPI
Rehab and Pain Managment Clinic Inc.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Jonesboro, AR
National Provider Identifier
1366450421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- REHAB AND PAIN MANAGMENT CLINIC INC.
- Practice address
- 1201 Fleming Ave
Jonesboro, AR 72401-4311 - Phone
- (870) 275-6010
- Fax
- (870) 203-0945
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virendar Kumar Verma, M.D.
- Title
- Owner
- Phone
- (870) 536-6700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X | R-4265 | AR |
Addresses
Primary practice location
1201 Fleming Ave
Jonesboro, AR 72401-4311
Mailing address
P.O. Box 1191
Rehab and Pain Management Clinic
Jonesboro, AR 72403
Phone (870) 275-6010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120955001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
8 Crestview Plz
Ste D
Jacksonville, AR 72076
1801 W 40th Ave
Ste 4D
Pine Bluff, AR 71603
Phone (870) 536-6700
1609 W 40th Ave
Ste 102
Pine Bluff, AR 71603
Phone (870) 541-7391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710201600000",
"number": "1366450421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1191",
"address_2": "REHAB AND PAIN MANAGEMENT CLINIC",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72403",
"telephone_number": "870-275-6010",
"fax_number": "870-203-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 FLEMING AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014311",
"telephone_number": "870-275-6010",
"fax_number": "870-203-0945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB AND PAIN MANAGMENT CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A",
"authorized_official_last_name": "VERMA",
"authorized_official_first_name": "VIRENDAR",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-536-6700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "AR",
"license": "R-4265",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120955001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.