CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC – NPI #1225459936
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC is a provider located in WALDORF, MD. NPPES has assigned the NPI number 1225459936 to CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC on December 23, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is PAIN AND WELLNESS CENTER OF MARYLAND, LLC. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 4 years ago on Apr 08, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC below.

NPI Profile for
CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC

NPI Number
1225459936
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC
Former Legal Business Name: PAIN AND WELLNESS CENTER OF MARYLAND, LLC
Primary location
601 POST OFFICE RD STE 2A
WALDORF, MD 20602
Phone: (240) 754-7954 Fax: (240) 754-7958
2 Other location(s):
601 Post Office Rd Ste 2A
Waldorf, MD 20602-1912
Phone: (240) 754-7954
Fax: (240) 754-7958
225 Reinekers Ln Ste Gr4
Alexandria, VA 22314-2871
Phone: (240) 754-7954
Fax: (571) 349-0204
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MIRIAM RAZAQ
PHYSICIAN
Phone: (240) 754-7954
Updated
Certification Date
Apr 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD589609600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
MD H67340

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.