OrganizationActive
Pain Management Professionals LLC
NPI 1255795134 · General Practice Physician · Murray, UT
Provider details
- NPI number
- 1255795134
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angie Wilcox, Owner(801) 713-1560
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4541 S 700 E
Suite 100
Murray, UT 84107-4118
Phone: (801) 713-1560
Fax: (801) 713-1562
Street-level locationGet directions
Mailing address
4541 S 700 E
Murray, UT 84107-4118
Registry dates
- Enumerated
- 2016-04-07
- Last updated
- 2016-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.