Pain & Rehab Services of the SW

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2-5626 Issued in TX

Legal business name

PAIN & REHAB SERVICES OF THE SW

Practice address

4308 Garth Rd Ste C
Baytown, TX 77521-3114

Phone

(281) 837-3757

Fax

(281) 837-7501

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Boyer, PHD

Title

Owner

Phone

(281) 837-3757

Specialties & licenses 2

Addresses

Tax ID family

Pain Rehab Services of the SW3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pain & Rehab Services of the Southwest, LLC

  • Physical Therapist
  • Humble, TX
  • NPI 1093939720
  NPD tax ID
• Pain & Rehab Services of the SW

  • Rehabilitation Clinic/Center
  • Baytown, TX
  • NPI 1972042489
  NPD tax ID

Locations

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1730629403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 BEDFORD EULESS RD",
            "city": "N RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807200",
            "telephone_number": "281-837-3757",
            "fax_number": "281-837-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 GARTH RD STE C",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213114",
            "telephone_number": "281-837-3757",
            "fax_number": "281-837-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & REHAB SERVICES OF THE SW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-837-3757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "2-5626",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilie Pacheco
• Michele Pacheco
• Kelly Brooke Padgett, AGNP-C
• Mallory D Pagan, DPT
• Philip Karl Page, LCDC
• Pain & Rehab Services of the SW
• Pain Alleviation & Interventional Needs
• Monica Palacios, MAC, LCDC, ADC
• Gopikrishna Paladugu, MD
• Maulik V Pancholi, PT, DPT

• Clinic/Center in Baytown, TX
• Providers in Baytown, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.