Organization Active NPI

Pain Center of Virginia, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hagerstown, MD
National Provider Identifier
1992644124
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PAIN CENTER OF VIRGINIA, PLLC
Practice address
19638 Leitersburg Pike Ste 204
Hagerstown, MD 21742-1518
Phone
(240) 850-3210
Fax
(240) 513-4536
NPI assigned
Mar 25, 2026
Organization subpart
Yes
Parent organization
PAIN CENTER OF VIRGINIA, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Jacqueline Marie Pennington
Title
Practice Administrator
Phone
(304) 263-6165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

19638 Leitersburg Pike Ste 204
Hagerstown, MD 21742-1518

Mailing address

19638 Leitersburg Pike Ste 204
Hagerstown, MD 21742-1518
Phone (240) 850-3210

National Provider Directory

National Provider Directory
Tax ID family
Pain Center of Virginia PLLC2 organizations share this tax ID, including this one
Part of
Pain Center of Virginia PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1992644124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19638 LEITERSBURG PIKE STE 204",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421518",
            "telephone_number": "240-850-3210",
            "fax_number": "240-513-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19638 LEITERSBURG PIKE STE 204",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421518",
            "telephone_number": "240-850-3210",
            "fax_number": "240-513-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTER OF VIRGINIA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN CENTER OF VIRGINIA, PLLC",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "304-263-6165"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.