Organization Active NPI

Doctors Pain Management Group of Wesley Chapel Inc

  • Massage Therapist
  • Wesley Chapel, FL
National Provider Identifier
1700059359
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM17319 Issued in FL
Legal business name
DOCTORS PAIN MANAGEMENT GROUP OF WESLEY CHAPEL INC
Practice address
29442 State Road 54
Wesley Chapel, FL 33543
Phone
(813) 994-2021
Fax
(813) 994-2240
NPI assigned
Apr 3, 2008
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dawn Kelly
Title
President Owner
Phone
(813) 931-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MM17319 FL Primary

Addresses

Primary practice location

29442 State Road 54
Wesley Chapel, FL 33543

Mailing address

29442 State Road 54
Wesley Chapel, FL 33543
Phone (813) 994-2021

National Provider Directory

National Provider Directory

Locations

29442 Wesley Chapel Blvd
Wesley Chapel, FL 33543
Phone (813) 994-2021

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1700059359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29442 STATE ROAD 54",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33543",
            "telephone_number": "813-994-2021",
            "fax_number": "813-994-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29442 STATE ROAD 54",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33543",
            "telephone_number": "813-994-2021",
            "fax_number": "813-994-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS PAIN MANAGEMENT GROUP OF WESLEY CHAPEL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "813-931-0501"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM17319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.