Organization
PHYSICAL MEDICINE ASSOCIATES, LTD
Active
Organization
PHYSICAL MEDICINE ASSOCIATES, LTD
Active
Other names
National Spine & Pain Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA TINCH (RCM MANAGER)
(469) 458-9222
Entity
Organization
Contact information
Practice address
1750 TYSONS BLVD STE 120, MC LEAN, VA 22102-4227
(703) 560-8280
(703) 560-8214
Mailing address
4960 SW 72ND AVE STE 405, MIAMI, FL 33155-5506
(469) 458-9222
(540) 918-7202
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176025
MEDICARE DC
VA
01
—
C10294
MEDICARE VA
VA
Enumeration date
03/10/2006
Last updated
12/08/2025
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