Provider Demographics
NPI:1942548748
Name:PREMIER PAIN SOLUTIONS
Entity Type:Organization
Organization Name:PREMIER PAIN SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:D
Authorized Official - Last Name:KNAPP
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:216-712-5000
Mailing Address - Street 1:10592 LONGVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-6164
Mailing Address - Country:US
Mailing Address - Phone:216-712-5000
Mailing Address - Fax:
Practice Address - Street 1:9824 WASHINGTON ST
Practice Address - Street 2:SUITE #3
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-5455
Practice Address - Country:US
Practice Address - Phone:216-712-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11358261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy