Organization Active NPI

Pain Relief Partners

  • Physical Therapist
  • Eureka, MO
National Provider Identifier
1821342619
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2005031148 Issued in MO
Legal business name
PAIN RELIEF PARTNERS
Practice address
113 W 5TH St
Eureka, MO 63025-1109
Phone
(636) 938-9310
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Candace M Mangrum
Title
Billing
Phone
(314) 275-8737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2005031148 MO Primary

Addresses

Primary practice location

113 W 5TH St
Eureka, MO 63025-1109

Mailing address

1585 Woodlake Dr Ste 214
Chesterfield, MO 63017-5740

Other names 1

  • Breakthrough Pain Relief Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

1585 Woodlake Dr
Ste 214
Chesterfield, MO 63017
Phone (314) 205-8858

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1821342619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 WOODLAKE DR STE 214",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W 5TH ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251109",
            "telephone_number": "636-938-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "MANGRUM",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "314-275-8737"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005031148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breakthrough Pain Relief Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.