Choice Pain & Rehabilitation Center, LLC

Primary specialty

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

Legal business name

CHOICE PAIN & REHABILITATION CENTER, LLC

Practice address

3413 Olandwood CT Ste 103
Olney, MD 20832-1489

Phone

(240) 786-1001

Fax

(240) 786-1002

NPI assigned

Apr 13, 2015

Last updated

Jun 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tristan Julius Shockley, MDNPI 1932242542

Title

Medical Director

Phone

(202) 489-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Choice Pain & Rehabilitation Center, LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tristan J Shockley, MD

  • Physical Medicine & Rehabilitation Physician
  • Laurel, MD
  • NPI 1932242542
  Authorized official Same address or phone

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624060800000",
    "number": "1558757914",
    "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": "3413 OLANDWOOD CT STE 103",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321489",
            "telephone_number": "240-786-1001",
            "fax_number": "240-786-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9841 Greenbelt Rd",
            "address_2": "SUITE 208",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207066269",
            "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": "2015-04-13",
        "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": "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "299001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Pain & Rehabilitation Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bernadette B Chestnutt, CRFNP
• John Chillari, DMD
• Anthony Chite, RPH
• Jihoon John Choi, MD
• Shawn Choi
• Shawn Chong, PA-C
• Amy E Christianson, LCSW-C
• Maislyn Annmarie Christie, M.D.
• Christopher J. Mays, M.D., L.L.C.
• Chrosniak ,Schwartzbauer & Mehta MD PA

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Olney, MD
• Providers in Olney, 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.