Pain Center of Virginia PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PAIN CENTER OF VIRGINIA PLLC

Doing business as

Meridian Physical Therapy
The Pain Center of Maryland
The Pain Center of West Virginia

Practice address

1839 West Plaza Dr
Winchester, VA 22601-6365

Phone

(304) 263-6165

Fax

(540) 486-4166

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Amanda Larrick

Title

Practice Coordinator

Phone

(304) 263-6165

Specialties & licenses 1

Addresses

Other names 3

• Meridian Physical Therapy Doing business as
• The Pain Center of Maryland Doing business as
• The Pain Center of West Virginia Doing business as

Locations

Practitioners 1

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

• Waheed S Baksh, MD, DPT

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Winchester, VA
  • NPI 1033393871
  NPD

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1396235099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 PLAZA DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016365",
            "telephone_number": "304-263-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 WEST PLAZA DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016365",
            "telephone_number": "304-263-6165",
            "fax_number": "540-486-4166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19638 Leitersburg Pike Ste 204",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217421515",
            "country_code": "US",
            "telephone_number": "240-850-3210",
            "fax_number": "240-850-2932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19638 Leitersburg Pike Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217421680",
            "country_code": "US",
            "telephone_number": "240-850-3175",
            "fax_number": "240-707-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Tavern Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012853",
            "country_code": "US",
            "telephone_number": "240-850-3175",
            "fax_number": "240-707-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Tavern Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012853",
            "country_code": "US",
            "telephone_number": "304-263-6165",
            "fax_number": "304-263-6536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN CENTER OF VIRGINIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "LARRICK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR",
        "authorized_official_telephone_number": "304-263-6165"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pain Center of Maryland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pain Center of West Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorotha C Owens II
• Illa Jane Owens
• Jessica Owens
• Justin Eserovwe Owumi
• Erin Pahl
• Pain Center of Virginia, PLLC
• Pain Center of Virginia, PLLC
• Pain Specialists of Winchester, Inc.
• Katlyn Painter
• Sydney Lauren Painter, BEHAVIOR TECHNICIAN

• Physical Medicine & Rehabilitation Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.