APPLACHAIN PAIN THERAPY INSTITUTE
NPI 1144340787
Pain Medicine - Interventional Pain Medicine in Charleston, WV

Active since March 29, 2007
4407 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 925-2922(304) 926-8009 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Applachain Pain Therapy Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APPLACHAIN PAIN THERAPY INSTITUTE (NPI 1144340787) is a healthcare organization registered as an interventional pain medicine in Charleston, West Virginia and active in the NPI registry since March 2007. The organization lists Josiah Kelley Lilly, Owner, as its authorized official.

NPPES Registry Identity

NPI1144340787
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameAPPLACHAIN PAIN THERAPY INSTITUTE
Location Address4407 MACCORKLE AVE SECharleston, WV 25304-2505
Mailing Address4407 Maccorkle Ave SeCharleston, WV 25304-2505 · (304) 925-2922 · Fax (304) 926-8009
Fax(304) 926-8009
Organization SubpartNo
Authorized OfficialJosiah Kelley LillyOwner · (304) 925-2922
Enumeration DateMarch 29, 2007
Last NPPES UpdateOctober 24, 2007
NPI 1144340787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in WV · 11322
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
4407 MACCORKLE AVE SE, Charleston, WV 25304

Other Identifiers 3

Medicare UPINA71978WV
Medicaid0201994000WV
Medicare ID-Type Unspecified9339481WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Prosthetic/Orthotic Supplier
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Clinic/Center (Federally Qualified Health Center (FQHC))
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Psychologist
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Pediatrics)
4407 MACCORKLE AVE SE, 2ND FLOOR
CHARLESTON, WV 25304
Pediatrics
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Physician Assistant (Medical)
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Applachain Pain Therapy Institute's NPI number?

The NPI number for Applachain Pain Therapy Institute is 1144340787. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Applachain Pain Therapy Institute located?

Applachain Pain Therapy Institute is located at 4407 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 925-2922.

What is Applachain Pain Therapy Institute's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Applachain Pain Therapy Institute was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.