Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Applachain Pain Therapy Institute

Organization Interventional Pain Medicine Physician · NPI 1144340787

Applachain Pain Therapy Institute is an Interventional Pain Medicine Physician in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007

Practice location Address checks out

4407 Maccorkle Ave SE
Charleston, WV 25304-2505
Phone: (304) 925-2922
Fax: (304) 926-8009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 11322 (WV)

Record details

NPI number1144340787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Josiah Lilly — Owner · (304) 925-2922
NPI enumeratedMarch 29, 2007
Last updated in NPPESOctober 24, 2007
Mailing address4407 Maccorkle Ave Se, Charleston, WV 25304-2505

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