PRIME REGENERATIVE AND PAIN MANAGEMENT - NPI 1205394855 - Physical Medicine & Rehabilitation in Fredericksburg, VA

Q: What is the provider's specialty?

The provider's specialty is Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.

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About Prime Regenerative And Pain Management NPPES

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

PRIME REGENERATIVE AND PAIN MANAGEMENT (NPI 1205394855) is a healthcare organization registered as a pain medicine in Fredericksburg, Virginia and active in the NPI registry since March 2019. The organization holds a CLIA Certificate of Compliance certificate valid through October 25, 2027, maintains a secondary practice location in Fredericksburg, and lists Devashish Sen, President, as its authorized official.

NPPES Registry Identity

NPI1205394855

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NameMAP RC LLC

Location Address402 CHATHAM SQUARE OFFICE PARKFredericksburg, VA 22405-2544

Mailing Address402 Chatham Square Office ParkFredericksburg, VA 22405-2544 · (540) 659-5414 · Fax (406) 595-4155

Phone(540) 659-5414

Fax(406) 595-4155

Organization SubpartNo

Authorized OfficialDevashish SenPresident · (540) 659-5414

Enumeration DateMarch 2, 2019

Last NPPES UpdateJuly 14, 20234 updates tracked since enumeration

NPPES CertifiedJuly 14, 2023

✔ NPI 1205394855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedChiropractorTaxonomy 111N00000X

402 CHATHAM SQUARE OFFICE PARK, Fredericksburg, VA 22405

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Other Names 1

Doing Business AsPrime Regenerative And Pain Management

Secondary Practice Location 1

Location 12565 Cowan BlvdFredericksburg, VA 22401-8440 · Phone (540) 659-5414 · Fax (540) 659-5415

Other Identifiers 1

Other0101243180VA · Licence Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Compliance 49D2276616

Map Rc LLC Dba Prime Regenerative And Pain Management · Fredericksburg, VA

Active · expires Oct 25, 2027

CLIA Number49D2276616

Laboratory TypePhysician Office

Certificate Effective DateOctober 26, 2025

Certificate Expiration DateOctober 25, 2027

Laboratory DirectorStephen K. Okine

Laboratory Phone(540) 659-5414

Laboratory LocationMap Rc LLC Dba Prime Regenerative And Pain Management2565 Cowan Blvd, Fredericksburg, VA 22401

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

DR. DAVID MARKLEY SWISHER DDS

Dentist