Organization Active NPI

Doctors Pain Management Group of Brandon Inc

  • Massage Therapist
  • Brandon, FL
National Provider Identifier
1891968442
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM14469 Issued in FL
Legal business name
DOCTORS PAIN MANAGEMENT GROUP OF BRANDON INC
Practice address
687 W Lumsden Road
Brandon, FL 33511
Phone
(813) 571-9782
Fax
(813) 571-9783
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dawn Kelly
Title
President Owner
Phone
(813) 931-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MM14469 FL Primary

Addresses

Primary practice location

687 W Lumsden Road
Brandon, FL 33511

Mailing address

687 W Lumsden Road
Brandon, FL 33511
Phone (813) 571-9782

National Provider Directory

National Provider Directory

Locations

687 W Lumsden Rd
Brandon, FL 33511
Phone (813) 643-1389

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1891968442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 W LUMSDEN ROAD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-571-9782",
            "fax_number": "813-571-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 W LUMSDEN ROAD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-571-9782",
            "fax_number": "813-571-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS PAIN MANAGEMENT GROUP OF BRANDON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "813-931-0501"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM14469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.