NPIMap

Organization Active NPI

Choice Pain & Rehabilitation Center, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baltimore, MD
National Provider Identifier
1477948842
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
D008884 Issued in MD
Legal business name
CHOICE PAIN & REHABILITATION CENTER, LLC
Practice address
1005 Northpoint Blvd Ste 722
Baltimore, MD 21224-3402
Phone
(240) 786-1001
Fax
(240) 786-1002
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Dr. Tristan Julius Shockley, MD
Title
Medical Director
Phone
(202) 489-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X D008884 MD Primary

Addresses

Primary practice location

1005 Northpoint Blvd Ste 722
Baltimore, MD 21224-3402

Mailing address

8843 Greenbelt Rd Ste 117
Greenbelt, MD 20770-2451
Phone (240) 786-1001

Other names 1

  • Choice Pain & Rehabilitation Center, LLC Other name

National Provider Directory

National Provider Directory

Locations

1005 Northpoint Blvd
Ste 722
Baltimore, MD 21224
Phone (240) 534-3289

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1477948842",
    "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": "1005 NORTHPOINT BLVD STE 722",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243402",
            "telephone_number": "240-786-1001",
            "fax_number": "240-786-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PAIN & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_middle_name": "JULIUS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "202-489-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D008884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Pain & Rehabilitation Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.