Muscle Injection Therapy LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

AP1293 Issued in FL

Legal business name

MUSCLE INJECTION THERAPY LLC

Practice address

10692 S US Highway 1
Suite C
Port St Lucie, FL 34952-6408

Phone

(772) 249-9450

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Robert Pendleton

Title

Manager

Phone

(772) 249-9450

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1588042568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 8902",
            "address_2": "SUITE C",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34985",
            "telephone_number": "772-249-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10692 S US HIGHWAY 1",
            "address_2": "SUITE C",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526408",
            "telephone_number": "772-249-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCLE INJECTION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "PENDLETON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-249-9450"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1293",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "AP1293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AP1293",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Michelle Murray, DC
• Murrin Dental Management LLC
• Randi Nichole Muscarella, MS
• Sean Muscarella
• Muscle Injection Therapies of the Treasure Coast LLC
• Justin Andrew Muskovich, M.D.
• Joseph Boyd Mutter, H.A.S.
• Mutter'S Precision Hearing Center, Inc
• My Dentist of Port St. Lucie
• Alpha Myers

• Interventional Pain Medicine Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.