PHYSICAL MEDICINE ASSOCIATES LTD (NPI# 1255604153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255604153 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE ASSOCIATES LTD |
| Other Organization Name | NATIONAL SPINE & PAIN CENTERS |
| Practice Address |
5213 Hickory Park Dr Suite B Glen Allen VA 23059-2617 |
| Mailing Address |
3031 Javier Rd Suite 210 Fairfax VA 22031-4637 |
| Practice Telephone | 8042707262 |
| Practice Fax Number | 8042707264 |
| Mailing Telephone | 7039148000 |
| Mailing Fax Number | 7036421876 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2013-07-08 |
| Authorized Official Name | MAYO F FRIEDLIS (PRESIDENT) |
| Authorized Official Telephone | 7039148000 |
| 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 |
VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| National Spine & Pain Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750840666 | Physical Medicine Associates Ltd | Pathology | 9151 Rumsey Rd Ste 150b, Columbia, MD 21045-1994 | 2019-03-19 |
| 1821338559 | Physical Medicine Associates Ltd | Pain Medicine | 3803 Fairfax Dr, Suite 400, Arlington, VA 22203-5860 | 2013-02-16 |
| 1871868539 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 174 Waterfront St, Suite 320, National Harbor, MD 20745 | 2012-03-14 |
| 1093236226 | Physical Medicine Associates Ltd | Anesthesiology | 3620 Joseph Siewick Dr Ste 101, Fairfax, VA 22033-1757 | 2017-06-28 |
| 1396266524 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 13700 St Francis Blvd Ste 501, Midlothian, VA 23114-3223 | 2017-06-28 |
| 1588005433 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 15195 Heathcoat Blvd, Suite 230, Haymarket, VA 20169-6242 | 2013-07-08 |
| 1467893313 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 2015 Tate Springs Rd, Lynchburg, VA 24501-1100 | 2013-07-08 |
| 1316384134 | Physical Medicine Associates Ltd | Pain Medicine | 1500 Brookhaven Dr, Suite 1, Harrisonburg, VA 22801-3585 | 2013-06-03 |
| 1649510371 | Physical Medicine Associates Ltd | Pain Medicine | 8101 Hinson Farm Rd, Suite 308, Alexandria, VA 22306-3403 | 2013-02-16 |
| 1134494891 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 11350 Mccormick Rd, Executive Plaza 1, Ste. 501, Hunt Valley, MD 21031 | 2012-03-14 |
| Street Address |
5213 HICKORY PARK DR SUITE B |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871541821 | Suzanne Lagosky | Pain Medicine | 5213 Hickory Park Dr, Suite B, Glen Allen, VA 23059-2617 | 2006-05-04 |
| 1447698014 | Sailatha Bobba | Psychiatry & Neurology | 5213 Hickory Park Dr, Glen Allen, VA 23059-2617 | 2013-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| Find all providers in zip 23059 | ||||
| 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 |
|---|---|---|---|---|
| 1679113757 | Vann-virginia Center for Orthopaedics PC | Physical Medicine & Rehabilitation | 6160 Kempsville Cir Ste 110a, Norfolk, VA 23502-3933 | 2020-01-07 |
| 1902220403 | Triumph Medical Advancments | Physical Medicine & Rehabilitation | 43704 Lees Mill Sq, Leesburg, VA 20176-3821 | 2014-02-05 |
| 1659792323 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 7535 Little River Tpke Ste 100c, Annandale, VA 22003-2976 | 2013-12-26 |
| 1174843064 | Bruce Ira Tetalman | Physical Medicine & Rehabilitation | 716 Thimble Shoals Blvd, Suite A, Newport News, VA 23606-4545 | 2010-06-02 |
| 1275769168 | Anil Mathew Chenthitta | Physical Medicine & Rehabilitation | 19450 Deerfield Ave Ste 280, Leesburg, VA 20176-6821 | 2009-06-05 |
| 1548427461 | Costa George Soteropoulos | Physical Medicine & Rehabilitation | 411-b Park Hill Dr, Fredericksburg, VA 22401 | 2008-05-19 |
| 1003028812 | Christopher A Dawson | Physical Medicine & Rehabilitation | 860 Omni Blvd Ste 115, Newport News, VA 23606-4430 | 2007-05-04 |
| 1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
| 1518982032 | Joseph Vincent Ferraro | Physical Medicine & Rehabilitation | 2729 King St, Alexandria, VA 22302-4008 | 2006-07-13 |
| 1285668491 | Suneetha Budampati | Physical Medicine & Rehabilitation | 2800 S Shirlington Rd Ste 102, Arlington, VA 22206-3603 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
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| 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.