CHOICE PAIN & REBABILITATION CENTER LLC (NPI# 1871043190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871043190 |
| Entity Type | Organization |
| Organization Name | CHOICE PAIN & REBABILITATION CENTER LLC |
| Other Organization Name | CHOICE PAIN AND REHABILITATION CENTER |
| Practice Address |
18540 Office Park Dr Montgomery Village MD 20886-0586 |
| Mailing Address |
8843 Greenbelt Rd Ste 117 Greenbelt MD 20770-2451 |
| Practice Telephone | 2407861001 |
| Practice Fax Number | 2407861002 |
| Mailing Telephone | 2407861001 |
| Mailing Fax Number | 2407861002 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | TRISTAN J SHOCKLEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2407861001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
D0068884 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHOICE PAIN AND REHABILITATION CENTER | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5430 Campbell Blvd, Suite 110a, White Marsh, MD 211625500 | 2407861001 | 2407861002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225588676 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 7106 Ridge Rd Ste 100, Rosedale, MD 21237-3876 | 2016-10-10 |
| 1497203558 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6615 Reisterstown Rd Ste 302, Baltimore, MD 21215-2689 | 2016-09-19 |
| 1922469865 | Choice Pain & Rebabilitation Center LLC | Non-Pharmacy Dispensing Site | 5102 Cornelias Prospect Dr, Bowie, MD 20720-3375 | 2016-03-18 |
| 1558757914 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 3413 Olandwood Ct Ste 103, Olney, MD 20832-1489 | 2015-04-13 |
| 1033505391 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6475 New Hampshire Ave Ste 620, Hyattsville, MD 20783-3280 | 2015-04-13 |
| 1477948842 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 1005 Northpoint Blvd Ste 722, Baltimore, MD 21224-3402 | 2015-04-02 |
| Street Address |
18540 OFFICE PARK DR |
| City | MONTGOMERY VILLAGE |
| State | MD |
| Zip Code | 20886-0586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578909313 | Cornerstone Pain & Restoration LLC | Anesthesiology | 18540 Office Park Dr, Montgomery Village, MD 20886-0586 | 2013-05-20 |
| 1407391378 | Choice Pain Surgery Center, LLC | Clinic/Center | 18540 Office Park Dr, Montgomery Village, MD 20886-0586 | 2016-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730684986 | Monica Susan Perretta | Dietitian, Registered | 8615 East Village Ave., Montgomery Village, MD 20886 | 2018-03-29 |
| 1942604640 | Maria Uy | Pharmacist | 9846 Maple Leaf Dr, Montgomery Village, MD 20886 | 2014-10-09 |
| 1699015354 | Larissa Kern Reynolds | Psychologist | 8615 East Village Avenue, Montgomery Village, MD 20886 | 2013-02-18 |
| 1518221613 | Iya-wase Winifred Besinga | Home Health Aide | 9658 Brassieway Montgomery Village, Montgomery, MD 20886 | 2012-07-03 |
| 1265758858 | Nina Vann Jeanes M.d., P.C. | Obstetrics & Gynecology | 19221 Montgomery Village Avenue, C-20, Montgomery County, MD 20886 | 2010-04-08 |
| 1275773012 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 8109 Wisconsin Ave, Bethesda, MD 20886 | 2009-03-05 |
| 1184876757 | Russell Lee Fritts | Chiropractor | 18538 Office Park Dr., Montgomery Village, MD 20886 | 2008-10-15 |
| 1558536102 | James M Ryan | Counselor | 19630 Club House Rd Ste 715, Montgomery Village, MD 20886 | 2008-04-24 |
| 1558487413 | Montgomery Village Dental Ctr | Dentist | 18544 Office Park Drive, Gaithersburg, MD 20886 | 2007-03-22 |
| 1437226784 | Robbie S Moyer | Pediatrics | 18506 Office Park Drive, Montgomery Vlg, MD 20886 | 2006-11-30 |
| Find all providers in zip 20886 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285123869 | Eastside Medical Care | Physical Medicine & Rehabilitation | 732b E Main St, Salisbury, MD 21804-5037 | 2018-05-09 |
| 1225588676 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 7106 Ridge Rd Ste 100, Rosedale, MD 21237-3876 | 2016-10-10 |
| 1497203558 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6615 Reisterstown Rd Ste 302, Baltimore, MD 21215-2689 | 2016-09-19 |
| 1558757914 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 3413 Olandwood Ct Ste 103, Olney, MD 20832-1489 | 2015-04-13 |
| 1033505391 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6475 New Hampshire Ave Ste 620, Hyattsville, MD 20783-3280 | 2015-04-13 |
| 1477948842 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 1005 Northpoint Blvd Ste 722, Baltimore, MD 21224-3402 | 2015-04-02 |
| 1225459936 | Pain and Wellness Center of Maryland, LLC | Physical Medicine & Rehabilitation | 601 Post Office Rd Ste 2a, Waldorf, MD 20602 | 2013-12-23 |
| 1922429935 | Health Management and Rehabilitation LLC | Physical Medicine & Rehabilitation | 13907 Willow Tree Dr, Rockville, MD 20850-5434 | 2013-12-17 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| 1871868539 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 174 Waterfront St, Suite 320, National Harbor, MD 20745 | 2012-03-14 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY VILLAGE |
| Zip Code | 20886 |
Please comment or provide details below to improve the information on CHOICE PAIN & REBABILITATION CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.