Active NPI
Accessible Integrative Medicine, LLC
Doing business as Legacy Spine & Pain Management
- Pain Medicine (Anesthesiology) Physician
- Rockville, MD
National Provider Identifier
1861986572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- D0075394
- Legal business name
- ACCESSIBLE INTEGRATIVE MEDICINE, LLC
- Doing business as
- Legacy Spine & Pain Management
Legacy Spine and Wellness - Practice address
- 20 Courthouse SQ Ste 204
Rockville, MD 20850-2338 - Phone
- (301) 962-4278
- NPI assigned
- Jun 16, 2018
- Last updated
- Aug 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan Gonzalez Cota, MD
- Title
- Medical Officer
- Phone
- (301) 962-4278
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | D0075394 | MD | Primary |
Addresses
Primary practice location
20 Courthouse SQ Ste 204
Rockville, MD 20850-2338
Mailing address
20 Courthouse SQ Ste 204
Rockville, MD 20850-2338
Phone (301) 962-4278
Other practice location 1
30 W Gude Dr Ste 375
Rockville, MD 20850-4300
Phone (301) 962-4278
Other practice location 2
9801 Georgia Ave Ste 339
Silver Spring, MD 20902-5276
Phone (301) 962-4278
Other practice location 3
14205 Park Center Dr Ste 201
Laurel, MD 20707-5252
Phone (301) 962-4278
Other names 2
- Legacy Spine & Pain Management
- Legacy Spine and Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10421 Motor City Dr
Unit 342430
Bethesda, MD 20817
30 W Gude Dr
Rockville, MD 20850
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bowie, MD
- NPI 1578561098
DC
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1023522638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722902400000",
"number": "1861986572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 COURTHOUSE SQ STE 204",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208502338",
"telephone_number": "301-962-4278",
"fax_number": "833-781-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 COURTHOUSE SQ STE 204",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208502338",
"telephone_number": "301-962-4278"
}
],
"practiceLocations": [
{
"address_1": "30 W Gude Dr Ste 375",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208504300",
"country_code": "US",
"telephone_number": "301-962-4278",
"fax_number": "833-781-4278",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9801 Georgia Ave Ste 339",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209025276",
"country_code": "US",
"telephone_number": "301-962-4278",
"fax_number": "833-781-1112",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14205 Park Center Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MD",
"postal_code": "207075252",
"country_code": "US",
"telephone_number": "301-962-4278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ACCESSIBLE INTEGRATIVE MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-16",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "GONZALEZ COTA",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "MEDICAL OFFICER",
"authorized_official_telephone_number": "301-962-4278",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "MD",
"license": "D0075394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Spine & Pain Management",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Legacy Spine and Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Legacy Spine and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.