Active NPI
Pain Institute, LTD
- Durable Medical Equipment & Medical Supplies
- Swansea, IL
National Provider Identifier
1609142918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PAIN INSTITUTE, LTD
- Practice address
- 4972 Benchmark Centre Dr
Swansea, IL 62226-2070 - Phone
- (618) 622-0303
- Fax
- (618) 622-0909
- NPI assigned
- Mar 30, 2012
- 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
- Dr. Kyle M Longo, D.C.
- Title
- Owner
- Phone
- (618) 622-0303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4972 Benchmark Centre Dr
Swansea, IL 62226-2070
Mailing address
4972 Benchmark Centre Dr
Swansea, IL 62226-2070
Phone (618) 622-0303
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Clarksville, TN
- NPI 1003909128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333065600000",
"number": "1609142918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4972 BENCHMARK CENTRE DR",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262070",
"telephone_number": "618-622-0303",
"fax_number": "618-622-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4972 BENCHMARK CENTRE DR",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262070",
"telephone_number": "618-622-0303",
"fax_number": "618-622-0909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN INSTITUTE, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-30",
"last_updated": "2012-03-30",
"status": "A",
"authorized_official_last_name": "LONGO",
"authorized_official_first_name": "KYLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-622-0303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.