Organization Active NPI

Rehab and Pain Managment Clinic Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jonesboro, AR
National Provider Identifier
1366450421
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
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

Updated by the provider on Mar 12, 2024

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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
120955001MedicaidAR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.