NPIMap

Organization Active NPI

Pni Rehab Centers, LLC

Doing business as Pain & Injury Center

  • Multi-Specialty Clinic/Center
  • Lewisville, TX
National Provider Identifier
1801817622
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
9326 Issued in TX
Legal business name
PNI REHAB CENTERS, LLC
Doing business as
Pain & Injury Center
Practice address
363 W Main St
Lewisville, TX 75057-3867
Phone
(972) 436-4434
Fax
(972) 436-3182
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Dr. Matthew Joseph Degaetano, DC
Title
Ceo
Phone
(972) 436-4434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 9326 TX Primary

Addresses

Primary practice location

363 W Main St
Lewisville, TX 75057-3867

Mailing address

363 W Main St
Lewisville, TX 75057-3867
Phone (972) 436-4434

Other names 1

  • Pain & Injury Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pain Injury Center3 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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1801817622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573867",
            "telephone_number": "972-436-4434",
            "fax_number": "972-436-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573867",
            "telephone_number": "972-436-4434",
            "fax_number": "972-436-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNI REHAB CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "DEGAETANO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-436-4434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "9326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain & Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.