Organization Active NPI

Therapeutic Pain Management

Doing business as The Rehab Superstore/Feel Like A Woman

  • Durable Medical Equipment & Medical Supplies
  • Fresno, CA
National Provider Identifier
1538342357
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
53036 Issued in CA
Legal business name
THERAPEUTIC PAIN MANAGEMENT
Doing business as
The Rehab Superstore/Feel Like A Woman
Practice address
6929 N Willow Ave
Ste 103
Fresno, CA 93710-5956
Phone
(559) 323-7246
Fax
(559) 323-7271
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Ms. Julia Anne Piazza
Title
Owner-President
Phone
(559) 323-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 53036 CA Primary

Addresses

Primary practice location

6929 N Willow Ave
Ste 103
Fresno, CA 93710-5956

Mailing address

6929 N Willow Ave
Ste #103
Fresno, CA 93710-5956
Phone (559) 323-7246

Other identifiers 4

IdentifierTypeStateIssuer
19253/19150OtherCACA STATE EXEMPTEE LICENSE
53036OtherCADMEPOS RETAILER
1538342357MedicaidCA
S11165OtherCAACCREDIDATION-BOARD OF ORTHOTICS AND PROSTHETICS

Other names 1

  • The Rehab Superstore/Feel Like A Woman Doing business as

National Provider Directory

National Provider Directory

Locations

6929 N Willow Ave
Ste 103
Fresno, CA 93710
Phone (559) 323-7246

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1538342357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 N WILLOW AVE",
            "address_2": "STE #103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105956",
            "telephone_number": "559-323-7246",
            "fax_number": "559-323-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 N WILLOW AVE",
            "address_2": "STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105956",
            "telephone_number": "559-323-7246",
            "fax_number": "559-323-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "PIAZZA",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "559-323-7246",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "53036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE EXEMPTEE LICENSE",
            "identifier": "19253/19150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS RETAILER",
            "identifier": "53036",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538342357",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCREDIDATION-BOARD OF ORTHOTICS AND PROSTHETICS",
            "identifier": "S11165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rehab Superstore/Feel Like A Woman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.