NPIMap

Organization Active NPI

Physical Medicine Associates, LTD

  • Interventional Pain Medicine Physician
  • MC Lean, VA
National Provider Identifier
1003884560
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PHYSICAL MEDICINE ASSOCIATES, LTD
Practice address
1750 Tysons Blvd Ste 120
MC Lean, VA 22102-4227
Phone
(703) 560-8280
Fax
(703) 560-8214
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shaneka Tinch
Title
RCM Manager
Phone
(469) 458-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1750 Tysons Blvd Ste 120
MC Lean, VA 22102-4227

Mailing address

4960 SW 72ND Ave Ste 405
Miami, FL 33155-5506
Phone (469) 458-9222

Other identifiers 2

IdentifierTypeStateIssuer
C10294OtherVAMEDICARE VA
176025OtherVAMEDICARE DC

Other names 1

  • National Spine & Pain Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040617000167 DC Part B Supplier - Clinic/Group Practice 4981688835 Receives reassigned benefits from 114 practitioners
Practice locations: MC Lean, VA; Reston, VA; Oxon Hill, MD; Fairfax, VA; Chevy Chase, MD; Arlington, VA; Alexandria, VA
O20071011000434 VA Part B Supplier - Clinic/Group Practice 4981688835 Receives reassigned benefits from 84 practitioners
Practice locations: Woodbridge, VA; Winchester, VA; Rockingham, VA; Roanoke, VA; Richmond, VA; Midlothian, VA; Leesburg, VA; Haymarket, VA…
O20190509000017 MD Part B Supplier - Clinic/Group Practice 4981688835 Receives reassigned benefits from 27 practitioners
Practice locations: Columbia, MD

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

National Provider Directory

National Provider Directory

Locations (25 of 47)

5550 Friendship Blvd
Ste 450
Chevy Chase, MD 20815
Phone (301) 215-4154

9151 Rumsey Rd
Ste 150
Columbia, MD 21045
Phone (443) 583-7958

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21065

174 Waterfront St
Ste 300
Oxon Hill, MD 20745
Phone (709) 914-8000

14605 Potomac Br Dr
Ste 100
Cincinnati, OH 45271

8101 Hinson Farm Rd
Ste 308
Cincinnati, OH 45271

525 Amherst St
Ste 104
Cincinnati, OH 45271

1500 Brookhaven Dr
Ste 1
Cincinnati, OH 45271

1420 Spg Hl Rdsuite 210
Cincinnati, OH 45271

8644 Sudley Rd
Ste 117
Cincinnati, OH 45271

1460 Pantops Mtn Pl
Ste 202
Cincinnati, OH 45271

920 N Shenondoah Ave
Ste 101
Cincinnati, OH 45271

24560 Southpoint Dr
Ste 120
Cincinnati, OH 45271

2800 S Shirlington Rd
Ste 102
Cincinnati, OH 45271

8501 Arlington Blvd
Ste 410
Cincinnati, OH 45271

1420 Spg Hl Rd
Ste 210
Cincinnati, OH 45271

15195 Heathcote Blvd
Ste 230
Cincinnati, OH 45271

6355 Walker Ln
Ste 507
Cincinnati, OH 45271

5550 Friendship Blvd
Ste 450
Cincinnati, OH 45271

1860 Town Ctr Dr
Ste 430
Cincinnati, OH 45271

3803 Fairfax Dr
Ste 400
Cincinnati, OH 45271

6710 Oxon Hl Rd
Ste 550
Cincinnati, OH 45271

1750 Tysons Blvd
Ste 120
Cincinnati, OH 45271

3620 Joseph Siewick Dr
Ste 101
Cincinnati, OH 45271

5324 Fallowater Ln SW
Ste 200
Cincinnati, OH 45271

Practitioners 138

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 138

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1003884560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 405",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555506",
            "telephone_number": "469-458-9222",
            "fax_number": "540-918-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 TYSONS BLVD STE 120",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024227",
            "telephone_number": "703-560-8280",
            "fax_number": "703-560-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "TINCH",
        "authorized_official_first_name": "SHANEKA",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "469-458-9222"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE VA",
            "identifier": "C10294",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DC",
            "identifier": "176025",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Spine & Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Spine & Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.