Active NPI
Pain and Rehab Associates, PLLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Dallas, TX
National Provider Identifier
1477932945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- PAIN AND REHAB ASSOCIATES, PLLC
- Practice address
- 17742 Preston Rd
Dallas, TX 75252-6199 - Phone
- (972) 702-7546
- Fax
- (214) 975-3961
- NPI assigned
- May 29, 2015
- 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
- Nisha Jain, MD
- Title
- President
- Phone
- (972) 702-7546
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary | ||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
17742 Preston Rd
Dallas, TX 75252-6199
Mailing address
17742 Preston Rd
Dallas, TX 75252-6199
Phone (214) 975-3960
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575763200000",
"number": "1477932945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17742 PRESTON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752526199",
"telephone_number": "214-975-3960",
"fax_number": "214-975-3961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17742 PRESTON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752526199",
"telephone_number": "972-702-7546",
"fax_number": "214-975-3961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN AND REHAB ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-29",
"last_updated": "2019-12-08",
"certification_date": "2019-12-08",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "NISHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-702-7546",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.