Choice PM&R LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

D0069766 Issued in MD

Legal business name

CHOICE PM&R LLC

Practice address

3540 Crain Hwy
#383
Bowie, MD 20716-1303

Phone

(240) 206-0621

NPI assigned

Jan 23, 2011

Organization subpart

No

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

Authorized official

Name

Monique Shockley, M.D.NPI 1568507176

Title

Medical Director

Phone

(240) 206-0621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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.

• Monique Martin Shockley

  • Physical Medicine & Rehabilitation Physician
  • Washington, DC
  • NPI 1568507176
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1295740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1821393844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 CRAIN HWY",
            "address_2": "#383",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161303",
            "telephone_number": "240-206-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 CRAIN HWY",
            "address_2": "#383",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161303",
            "telephone_number": "240-206-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PM&R LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-23",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "240-206-0621",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0069766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Godlove Longla Chofong
• Rita Nkilo Chofong
• Beltus Fusi Chofor
• Choice Healthcare Services,LLC
• Choice Pain & Rebabilitation Center LLC
• Rebekah Chovanec, LMSW
• Mi-Lun Chow, DDS
• Fnu Christel Ngayap
• Christys Compassionate Care LLC
• Tu-Anh Chu, MD.

• Physical Medicine & Rehabilitation Physician in Bowie, MD
• Providers in Bowie, 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 Jan 25, 2011; 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.