NPIMap

Organization Active NPI

Physical Medicine Associates, LTD

  • Interventional Pain Medicine Physician
  • Fairfax, VA
National Provider Identifier
1316465461
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
8501 Arlington Blvd Ste 410
Fairfax, VA 22031-4625
Phone
(703) 914-8000
Fax
(703) 642-1876
NPI assigned
Sep 8, 2017
Organization subpart
No

Authorized official

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

Other NPIs with the same Medicare PAC ID 17

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

Corporate family (same tax ID) 14

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

Practitioners 102

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

View all 102

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2136010National Spine & Pain Centers, LLC8501 Arlington Boulevard - Suite 410, Fairfax, VA 22031Certificate of waiverAug 30, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20180302001805 VA DME Supplier - Physician - Interventional Pain Management 4981688835 Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory
Tax ID family
Physical Med Assoc RPTS (15 organizations share this tax ID)

Locations

5550 Friendship Blvd
Chevy Chase, MD 20815
Phone (301) 215-7347

24560 Southpoint Dr
Ste 120
Aldie, VA 20105
Phone (703) 348-5060

5520 Cherokee Ave
Ste 215
Alexandria, VA 22312
Phone (703) 998-8000

1460 Pantops Mountain Pl
Ste 202
Charlottesville, VA 22911
Phone (434) 234-4910

8501 Arlington Blvd
Ste 410
Fairfax, VA 22031
Phone (703) 738-4331

411B Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 368-3917

15195 Heathcote Blvd
Ste 230
Haymarket, VA 20169
Phone (703) 738-4384

13700 St Francis Blvd
Ste 501
Midlothian, VA 23114
Phone (804) 213-2390

13710 St Francis Blvd
Ste 501
Midlothian, VA 23114
Phone (804) 213-2390

17340 Pickwick Dr
#130
Purcellville, VA 20132
Phone (540) 751-0751

1860 Town Center Dr
Ste 430
Reston, VA 20190
Phone (703) 735-4335

46161 Westlake Dr
Ste 200
Sterling, VA 20165
Phone (703) 433-9230

525 Amherst St
Ste 104
Winchester, VA 22601
Phone (540) 662-4263

14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

8501 Arlington Blvd Ste 410
Fairfax, VA 22031-4625

Mailing address

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

Other names 1

NPPES NPI Registry
  • National Spine and Pain Centers Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2025.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1316465461",
    "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": "8501 ARLINGTON BLVD STE 410",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314625",
            "telephone_number": "703-914-8000",
            "fax_number": "703-642-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Spine and Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.