Accessible Integrative Medicine, LLC

Organization Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Laurel, MD

NPI 1023876232 · NPPES record last updated Sep 19, 2024

Key facts

NPI
1023876232
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
Legal business name
ACCESSIBLE INTEGRATIVE MEDICINE, LLC
Practice address
14205 Park Center Dr Ste 201
Laurel, MD 20707-5252
Phone
(301) 962-4278
NPI assigned
Mar 12, 2024
Organization subpart
No

Authorized official

Name
Alan Gonzalez-Cota NPI 1679797369
Title
Ceo
Phone
(301) 962-4278

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Accessible Integrative Medicine LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2081P2900X Yes

Addresses

Primary practice location

14205 Park Center Dr Ste 201
Laurel, MD 20707-5252

Mailing address

20 Courthouse SQ Ste 204
Rockville, MD 20850-2338
Phone (301) 962-4278

Other names

  • Legacy Spine and Pain Management Doing business as

Other providers in Laurel, MD

All providers in Laurel, MD · Pain Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

Sources for this page

Verify at the official NPI Registry.