Garrett Spine Nerve & Pain Center

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GARRETT SPINE NERVE & PAIN CENTER

Practice address

90 Main St
Westernport, MD 21562-1437

Phone

(301) 616-2550

NPI assigned

Mar 24, 2023

Last updated

Jul 31, 2026By 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

Edward Soriano Jr., DONPI 1093797540

Title

Owner

Phone

(301) 616-2550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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.

• Edward T. Soriano Jr., D.O.

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
  • NPI 1093797540
  Medicare reassignment Care Compare group NPD Authorized official
• Caryn Lynn Amedee, MS, CRNP, FNP-C

  • Family Nurse Practitioner
  • Frostburg, MD
  • NPI 1104476274
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1609579077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "city": "WESTERNPORT",
            "state": "MD",
            "postal_code": "215621408",
            "telephone_number": "301-616-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "city": "WESTERNPORT",
            "state": "MD",
            "postal_code": "215621437",
            "telephone_number": "301-616-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT SPINE NERVE & PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-616-2550",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rae Fazenbaker
• Stephen Douglas Felton, PT
• Fay Nelsie Ferguson
• Vincent F. Fiorentino, D.D.S.
• Ashley Fisher
• Marilyn Lee Gordon
• Courtney Green
• Catherine Alexandra Grimm, OTR/L, MOT
• Kerry Haggerty
• Emily Haines

• Physical Medicine & Rehabilitation Physician in Westernport, MD
• Providers in Westernport, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.