NPIMap

Physical Medicine Associates, LTD

Organization Active NPI Interventional Pain Medicine Physician · Aldie, VA

NPI 1730749102 · NPPES record last updated Dec 8, 2025

Key facts

NPI
1730749102
Entity type
Organization (NPI type 2)
Primary specialty
Interventional Pain Medicine Physician 208VP0014X
Legal business name
PHYSICAL MEDICINE ASSOCIATES, LTD
Practice address
24560 Southpoint Drive
Ste. 120
Aldie, VA 20105
Phone
(410) 329-1071
Fax
(410) 329-1054
NPI assigned
Jun 18, 2019
Organization subpart
No

Authorized official

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 73

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

View all 73

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2169862Physical Medicine Associates, LTD
24560 Southpoint Drive, Ste 120, Aldie, VA 20105		Certificate of waiverJul 29, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200210001973 VA DME Supplier - Physician - Interventional Pain Management 4981688835 Practice locations: Aldie, VA

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208VP0014X Yes

Addresses

Primary practice location

24560 Southpoint Drive
Ste. 120
Aldie, VA 20105

Mailing address

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

Other providers in Aldie, VA

All providers in Aldie, VA · Interventional Pain Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.