Organization Active NPI

Spine and Rehabilitation Physicians, P.a.

  • Interventional Pain Medicine Physician
  • Columbia, MD
National Provider Identifier
1881945723
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
D63675 Issued in MD
Legal business name
SPINE AND REHABILITATION PHYSICIANS, P.A.
Practice address
5500 Knoll North Dr
Suite 235
Columbia, MD 21045-2370
Phone
(443) 542-0932
Fax
(443) 542-0983
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Mauricio Javier Acebey, M.D.
Title
Managing Owner
Phone
(404) 668-7920

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X D63675 MD
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X D63675 MD
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X D63675 MD Primary

Addresses

Primary practice location

5500 Knoll North Dr
Suite 235
Columbia, MD 21045-2370

Mailing address

PO Box 62812
Baltimore, MD 21264-2812
Phone (866) 588-3588

National Provider Directory

National Provider Directory

Locations

5500 Knoll North Dr
Ste 235
Columbia, MD 21045
Phone (404) 668-7920

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1881945723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62812",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642812",
            "telephone_number": "866-588-3588",
            "fax_number": "770-836-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KNOLL NORTH DR",
            "address_2": "SUITE 235",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452370",
            "telephone_number": "443-542-0932",
            "fax_number": "443-542-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND REHABILITATION PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "ACEBEY",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "404-668-7920",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D63675",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "D63675",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D63675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.