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

Q: 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.

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: October 25, 2026.

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pain Treatment Centers Of Maryland, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pain Treatment Centers Of Maryland, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tatyana Reznikov, MD

Physical Medicine and Rehabilitation

NPI 1982819421

116 WESTMINSTER PIKE SUITE 106
Reisterstown, MD 21136

(410) 833-1011

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Pain Treatment Centers Of Maryland, LLC enrolled in Medicare?

Yes. Pain Treatment Centers Of Maryland, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pain Treatment Centers Of Maryland, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Pain Treatment Centers Of Maryland, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.