Healthcare Provider Details

I. General information

NPI: 1215544390
Provider Name (Legal Business Name): PAIN FREE MOVEMENT L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7324 SOUTHWEST FWY STE 325
HOUSTON TX
77074-2058
US

IV. Provider business mailing address

6520 BROADWAY ST APT 322
PEARLAND TX
77581-7720
US

V. Phone/Fax

Practice location:
  • Phone: 832-930-2970
  • Fax:
Mailing address:
  • Phone: 228-229-0156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MR. JEROME ALLEN JR.
Title or Position: OWNER
Credential: EXERCISE SPECIAIST
Phone: 832-930-2970