Choice Pain & Rehabilitation Center, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

D0068884 Issued in MD

Legal business name

CHOICE PAIN & REHABILITATION CENTER, LLC

Practice address

7106 Ridge Rd Ste 100
Rosedale, MD 21237-3876

Phone

(240) 786-1001

Fax

(240) 786-1002

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Tristan J Shockley, MD

Title

Medical Director

Phone

(240) 786-1001

Specialties & licenses 1

Addresses

Other names 1

• Choice Pain & Rehabilitation Center, LLC Other name

Locations

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624060800000",
    "number": "1225588676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8843 GREENBELT RD STE 117",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702451",
            "telephone_number": "240-786-1001",
            "fax_number": "240-786-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7106 RIDGE RD STE 100",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373876",
            "telephone_number": "240-786-1001",
            "fax_number": "240-786-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5430 Campbell Blvd",
            "address_2": "SUITE 106",
            "address_purpose": "LOCATION",
            "city": "White Marsh",
            "state": "MD",
            "postal_code": "211625500",
            "country_code": "US",
            "telephone_number": "240-786-1001",
            "fax_number": "240-786-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHOICE PAIN & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "240-786-1001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D0068884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Pain & Rehabilitation Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chesapeake Eye Care & Laser Center LLC
• Chesapeake Eye Care & Laser Center LLC
• Chesapeake Eye Care & Laser Center LLC
• Children'S Heart Institute
• Chimax Medical Center, LLC
• Orogbuo Junior Chuku
• Cin Ventures
• Alexandra Ciola, LCPC
• Makenzie Nicole Cirrani, LMSW
• Dorian M Clark

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.