Active NPI
Pain Solutions Inc
- Physical Therapy Clinic/Center
- Columbia, SC
National Provider Identifier
1700933066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1095
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1915 | Other | SC | LICENSE # - DEBRA IACONO |
| 1095 | Other | SC | LICENSE # - KIM MASSEY |
| 958 | Other | SC | LICENSE # - RUSSELL MASSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Lexington, SC
- NPI 1669529947
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.