# PRIVIA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aspire Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225734411
- **Authorized official:** SUSAN PORTER (MANAGER)
- **Authorized official phone:** (615) 500-2199

## Contact information

- **Practice address:** 10750 COLUMBIA PIKE STE 401B, SILVER SPRING, MD 20901-4457
- **Practice address phone:** (571) 972-6636
- **Mailing address:** 950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2023
- **Last updated:** 01/31/2023