Pain 101 Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PAIN 101 MEDICAL LLC

Practice address

870 McClellandtown Rd
MC Clellandtown, PA 15458-1253

Phone

(724) 984-4273

Fax

(724) 430-4925

NPI assigned

May 18, 2022

Last updated

May 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Reyne Polk

Title

Owner

Phone

(833) 724-6100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1457098758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MCCLELLANDTOWN RD",
            "city": "MC CLELLANDTOWN",
            "state": "PA",
            "postal_code": "154581253",
            "telephone_number": "724-984-4273",
            "fax_number": "724-430-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MCCLELLANDTOWN RD",
            "city": "MC CLELLANDTOWN",
            "state": "PA",
            "postal_code": "154581253",
            "telephone_number": "724-984-4273",
            "fax_number": "724-430-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN 101 MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "REYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-724-6100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in McClellandtown, PA
• Providers in McClellandtown, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.