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PAIN TREATMENT CENTERS OF MARYLAND, LLC
NPI 1174917736
Physical Medicine & Rehabilitation - Pain Medicine in Reisterstown, MD

Active since March 22, 2015CLIA 21D2115764 · Waiver
116 WESTMINSTER PIKE, SUITE 106, REISTERSTOWN, MD 21136(410) 833-1011(410) 833-1680 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pain Treatment Centers Of Maryland, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN TREATMENT CENTERS OF MARYLAND, LLC (NPI 1174917736) is a healthcare organization registered as a pain medicine in Reisterstown, Maryland and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Tatyana Reznikov, Mbr, as its authorized official.

NPPES Registry Identity

NPI1174917736
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NamePAIN TREATMENT CENTERS OF MARYLAND, LLC
Location Address116 WESTMINSTER PIKE, SUITE 106Reisterstown, MD 21136-1027
Mailing Address116 Westminster Pike, Suite 106Reisterstown, MD 21136-1027 · (410) 833-1011 · Fax (410) 833-1680
Phone(410) 833-1011
Fax(410) 833-1680
Organization SubpartNo
Authorized OfficialTatyana ReznikovMbr · (410) 833-1101
Enumeration DateMarch 22, 2015
Last NPPES UpdateJanuary 29, 2016
✔ NPI 1174917736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
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.
116 WESTMINSTER PIKE, Reisterstown, MD 21136
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Other Identifiers 2

Medicaid512314300MD
Other130198MD · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2115764

Pain Treatment Center Of Maryland LLC · Reisterstown, MD
Active · expires Jul 12, 2028
CLIA Number21D2115764
Laboratory TypePractitioner Other
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorTatyana Reznikov
Laboratory Phone(410) 833-1011
Laboratory LocationPain Treatment Center Of Maryland LLC116 Westminster Pike Suite 106, Reisterstown, MD 21136
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JON D KOMAN MD
Orthopaedic Surgery (Sports Medicine)
116 WESTMINSTER PIKE, SUITE 100
REISTERSTOWN, MD 21136
Baltimore County (410) 833-9300
MEDSTAR MEDICAL GROUP II LLC
General Practice
116 WESTMINSTER PIKE
REISTERSTOWN, MD 21136
Baltimore County (410) 833-9300
KOMAN ORTHOPEDICS AND SPORTS MEDICINE
Durable Medical Equipment & Medical Supplies
116 WESTMINSTER PIKE, SUITE 100
REISTERSTOWN, MD 21136
Baltimore County (410) 833-9300
DAVID ALVARADO PA-C
Physician Assistant
116 WESTMINSTER PIKE, SUITE 100
REISTERSTOWN, MD 21136
Baltimore County (410) 833-9300
KOMAN ORTHOPAEDICS AND SPORTS MEDICINE, LLC
Clinic/Center (Physical Therapy)
116 WESTMINSTER PIKE, SUITE 100
REISTERSTOWN, MD 21136
Baltimore County (410) 833-9300
KOMAN ORTHOPEDICS AND SPORTS MEDICINE, LLC
Orthopaedic Surgery (Sports Medicine)
116 WESTMINSTER PIKE, SUITE 100
REISTERSTOWN, MD 21136
Baltimore County (410) 833-9300
DR. TATYANA REZNIKOV MD
Physical Medicine & Rehabilitation (Pain Medicine)
116 WESTMINSTER PIKE, SUITE 106
REISTERSTOWN, MD 21136
Baltimore County (410) 833-1011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pain Treatment Centers Of Maryland, LLC's NPI number?

The NPI number for Pain Treatment Centers Of Maryland, LLC is 1174917736. It was assigned to this organization in the NPPES registry on March 22, 2015.

Where is Pain Treatment Centers Of Maryland, LLC located?

Pain Treatment Centers Of Maryland, LLC is located at 116 Westminster Pike Suite 106, Reisterstown, MD 21136. The listed phone number is (410) 833-1011.

What is Pain Treatment Centers Of Maryland, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does Pain Treatment Centers Of Maryland, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2115764) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pain Treatment Centers Of Maryland, LLC was last updated on January 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.