Organization Active NPI

The Pain and Rehabilitation Center

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1710925433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F10000295 Issued in DE
Legal business name
THE PAIN AND REHABILITATION CENTER
Practice address
4011 N Market St
Wilmington, DE 19802-2219
Phone
(302) 762-0200
Fax
(302) 762-0500
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rochelle D Thawley
Title
Office Manager
Phone
(302) 838-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F10000295 DE Primary

Addresses

Primary practice location

4011 N Market St
Wilmington, DE 19802-2219

Mailing address

4011 N Market St
Wilmington, DE 19802-2219
Phone (302) 762-0200

National Provider Directory

National Provider Directory
Tax ID family
The Pain and Rehabilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710925433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 N MARKET ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022219",
            "telephone_number": "302-762-0200",
            "fax_number": "302-762-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 N MARKET ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022219",
            "telephone_number": "302-762-0200",
            "fax_number": "302-762-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THAWLEY",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-838-3100"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F10000295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.