Pain Solutions & Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

P14000098488 Issued in FL

Legal business name

PAIN SOLUTIONS & PHYSICAL THERAPY, INC.

Practice address

100 Whetstone PL
Suite 208
St Augustine, FL 32086-5774

Phone

(904) 567-7727

Fax

(904) 567-5770

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Ariel Mortera, PHYSICAL THERAPIST

Title

President

Phone

(773) 934-3744

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1871981308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 DALTON SPRINGS CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PL",
            "address_2": "SUITE 208",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865774",
            "telephone_number": "904-567-7727",
            "fax_number": "904-567-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SOLUTIONS & PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "MORTERA",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-934-3744",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "P14000098488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enma Linda Padilla-Lynch
• Pamela Marie Padilla, M.D.
• Brittany Paglicco
• Pain and Spine Physio Rehab LLC
• Pain Management Specialists of North Florida P a
• Rex Beasom Painter, DDS
• Gezim Pajaziti, APRN
• Bruce Henry Paley, D.O.
• Genelle Pallasigui
• Palm Beach Fluoroscopy Services LLC

• Physical Therapy Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.