Organization Active NPI

Pain Solutions Inc

  • Physical Therapy Clinic/Center
  • Columbia, SC
National Provider Identifier
1700933066
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1095 Issued in SC
Legal business name
PAIN SOLUTIONS INC
Practice address
223 Stoneridge Drive
Columbia, SC 29210-8009
Phone
(803) 296-5990
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Mrs. Kimberly S Massey, PT
Title
Owner
Phone
(803) 920-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1095 SC Primary

Addresses

Primary practice location

223 Stoneridge Drive
Columbia, SC 29210-8009

Mailing address

100 Old Cherokee Road
Suite F, PMB 310
Lexington, SC 29072-7959
Phone (803) 296-5990

Other identifiers 3

IdentifierTypeStateIssuer
1915OtherSCLICENSE # - DEBRA IACONO
1095OtherSCLICENSE # - KIM MASSEY
958OtherSCLICENSE # - RUSSELL MASSE

National Provider Directory

National Provider Directory

Locations

223 Stoneridge Dr
Columbia, SC 29210
Phone (803) 296-5990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1700933066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD CHEROKEE ROAD",
            "address_2": "SUITE F, PMB 310",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727959",
            "telephone_number": "803-296-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 STONERIDGE DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108009",
            "telephone_number": "803-296-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-920-6350",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # - DEBRA IACONO",
            "identifier": "1915",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # - KIM MASSEY",
            "identifier": "1095",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # - RUSSELL MASSE",
            "identifier": "958",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.