NPIMap

Organization Active NPI

Physical Medicine Associates LTD

Doing business as National Spine & Pain Centers

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Oxon Hill, MD
National Provider Identifier
1871868539
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PHYSICAL MEDICINE ASSOCIATES LTD
Doing business as
National Spine & Pain Centers
Practice address
6710 Oxon Hill Rd Ste 550
Oxon Hill, MD 20745-1117
Phone
(301) 485-7400
Fax
(301) 839-3173
NPI assigned
Mar 14, 2012
Last updated
Dec 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Shaneka Tinch
Title
RCM Manager
Phone
(469) 458-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD Primary

Addresses

Primary practice location

6710 Oxon Hill Rd Ste 550
Oxon Hill, MD 20745-1117

Mailing address

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

Other practice location 1

174 Waterfront St Ste 320
Oxon Hill, MD 20745-1162
Phone (301) 485-7400

Other names 1

  • National Spine & Pain Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120723000896 MD DME Supplier - Physician - Interventional Pain Management 4981688835 Practice locations: Oxon Hill, MD

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2004495National Spine & Pain Centers, LLC6710 Oxon Hill Rd Suite #550, Oxon Hill, MD 20745Certificate of waiverMar 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1871868539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 405",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555506",
            "telephone_number": "469-458-9222",
            "fax_number": "540-918-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD STE 550",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451117",
            "telephone_number": "301-485-7400",
            "fax_number": "301-839-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Waterfront St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207451162",
            "country_code": "US",
            "telephone_number": "301-485-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "TINCH",
        "authorized_official_first_name": "SHANEKA",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "469-458-9222"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Spine & Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Spine & Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.