Organization Active NPI

Physical Pain Management, P.C.

  • Chiropractor
  • Washington, PA
National Provider Identifier
1487720678
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007656L Issued in PA
Legal business name
PHYSICAL PAIN MANAGEMENT, P.C.
Practice address
1150 Washington Rd
Suite 104
Washington, PA 15301-9683
Phone
(724) 225-7246
Fax
(724) 225-9124
NPI assigned
Nov 28, 2006
Last updated
Mar 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Dr. Brian Marc McDonough, D.C.NPI 1710083720
Title
President
Phone
(724) 225-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007656L PA Primary

Addresses

Primary practice location

1150 Washington Rd
Suite 104
Washington, PA 15301-9683

Mailing address

1150 Washington Rd
Suite 104
Washington, PA 15301-9683
Phone (724) 225-7246

National Provider Directory

National Provider Directory

Locations

1150 Washington Rd
Ste 104
Washington, PA 15301
Phone (724) 225-7246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1487720678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 WASHINGTON RD",
            "address_2": "SUITE 104",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019683",
            "telephone_number": "724-225-7246",
            "fax_number": "724-225-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 WASHINGTON RD",
            "address_2": "SUITE 104",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019683",
            "telephone_number": "724-225-7246",
            "fax_number": "724-225-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL PAIN MANAGEMENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-225-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007656L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.