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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 53036
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19253/19150 | Other | CA | CA STATE EXEMPTEE LICENSE |
| 53036 | Other | CA | DMEPOS RETAILER |
| 1538342357 | Medicaid | CA | |
| S11165 | Other | CA | ACCREDIDATION-BOARD OF ORTHOTICS AND PROSTHETICS |
Other names 1
- The Rehab Superstore/Feel Like A Woman
National Provider Directory
National Provider DirectoryLocations
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.