Interventional Pain Centers of Southwest Virginia

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

0101222244 Issued in VA

Legal business name

INTERVENTIONAL PAIN CENTERS OF SOUTHWEST VIRGINIA

Practice address

Interventional Pain Centers of Southwest Virginia
1787 W Lee Highway
Wytheville, VA 24382-1437

Phone

(276) 227-0967

Fax

(276) 227-0956

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Robert L Pressley

Title

Practice Manager

Phone

(540) 772-9154

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1740767995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INTERVENTIONAL PAIN CENTERS OF SOUTHWEST VA",
            "address_2": "3735 FRANKLIN RD SW SUITE 276",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "276-227-0967",
            "fax_number": "276-227-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INTERVENTIONAL PAIN CENTERS OF SOUTHWEST VIRGINIA",
            "address_2": "1787 W LEE HIGHWAY",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821437",
            "telephone_number": "276-227-0967",
            "fax_number": "276-227-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN CENTERS OF SOUTHWEST VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "PRESSLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "540-772-9154"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101222244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.