Provider Demographics
NPI:1215544390
Name:PAIN FREE MOVEMENT L.L.C
Entity type:Organization
Organization Name:PAIN FREE MOVEMENT L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:EXERCISE SPECIAIST
Authorized Official - Phone:832-930-2970
Mailing Address - Street 1:6520 BROADWAY ST APT 322
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-7720
Mailing Address - Country:US
Mailing Address - Phone:228-229-0156
Mailing Address - Fax:
Practice Address - Street 1:7324 SOUTHWEST FWY STE 325
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2058
Practice Address - Country:US
Practice Address - Phone:832-930-2970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy