Organization
PHYSICAL MEDICINE ASSOCIATES LTD
Active
Other names
National Spine and Pain Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA TINCH (RCM MANAGER)
(469) 458-9222
Entity
Organization
Contact information
Practice address
3620 JOSEPH SIEWICK DR STE 101, FAIRFAX, VA 22033-1757
(703) 914-8000
(703) 642-1876
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
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/28/2017
Last updated
12/08/2025
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