Pain Relief Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7121 Issued in TX

Legal business name

PAIN RELIEF REHAB LLC

Practice address

363 W Main St
Lewisville, TX 75057-3867

Phone

(972) 436-4434

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Robert Dasilva, DCNPI 1558396820

Title

Owner/Provider

Phone

(972) 436-4434

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Dasilva, D.C.

  • Chiropractor
  • Lewisville, TX
  • NPI 1558396820
  Medicare reassignment Authorized official
• Willie Ow, D.C.

  • Chiropractor
  • Plano, TX
  • NPI 1912285602
  Medicare reassignment NPD

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1386019735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573867",
            "telephone_number": "972-436-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573867",
            "telephone_number": "972-436-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "DASILVA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "972-436-4434",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7121",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "7121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Paaku
• Stephanie Pack
• Sarah Elizabeth Padilla
• Jodi Lynn Page, RN
• Pain Institute of America, PLLC
• Emilie Roma Palacios
• Liliana M Palacios, L.P.C
• R. Dale Pangan, OD
• Pankaj Thapar, MD, PA
• Michael Hyungwook Park, MD

• Chiropractor in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.