Pain Recovery LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PAIN RECOVERY LLC

Practice address

15565 Northland Dr W Ste 605W
Southfield, MI 48075-5319

Phone

(248) 809-3141

NPI assigned

Oct 12, 2017

Last updated

Jun 16, 2018By 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

Dwende Ried

Title

Owner

Phone

(248) 809-3141

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1538670971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR W STE 605W",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755319",
            "telephone_number": "248-809-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR W STE 605W",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755319",
            "telephone_number": "248-809-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "RIED",
        "authorized_official_first_name": "DWENDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-809-3141"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Page
• Jamie Page, M,S,W
• Valerie Page
• Bhanu Ram Pai, MD
• Pain and Injury Rehabilitation Clinic
• Ebonee Paisley, LLPC
• Brianna Pajakowski, DPT
• Pal Investment Group, Inc. (Acclaimed Home Care, Inc.)
• Caitlyn Palazzo
• Amy Pallisco, PHARMD

• Physical Therapy Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.