Organization Active NPI

Pain Away LLC

  • Physical Therapy Clinic/Center
  • Tyler, TX
National Provider Identifier
1861118481
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PAIN AWAY LLC
Doing business as
Fyzical Therapy & Balance Centers
Practice address
751 S Beckham Ave
Tyler, TX 75701-1903
Phone
(806) 640-4843
NPI assigned
Oct 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Gyna Alexandra Valenzuela
Title
Manager Member
Phone
(903) 707-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

751 S Beckham Ave
Tyler, TX 75701-1903

Mailing address

2106 Pinehurst St
Tyler, TX 75703-5891
Phone (806) 640-4843

Other names 1

  • Fyzical Therapy & Balance Centers Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tylercentral-tx@fyzical.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

751 S Beckham Ave
Tyler, TX 75701
Phone (903) 595-6126

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1861118481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 PINEHURST ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035891",
            "telephone_number": "806-640-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011903",
            "telephone_number": "806-640-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "GYNA",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "903-707-8099"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tylercentral-tx@fyzical.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "751 S Beckham Ave",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757011903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.