PREMIERE SPINE AND SPORTS MEDICINE LLC
NPI 1245760875
Physical Medicine & Rehabilitation in Hagerstown, MD

Active since June 15, 2017CLIA 21D2334316 · Waiver
13114 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742(301) 800-7770 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2024, Sep 15, 2022, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Premiere Spine And Sports Medicine Llc NPPES

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

PREMIERE SPINE AND SPORTS MEDICINE LLC (NPI 1245760875) is a healthcare organization registered as a physical medicine & rehabilitation in Hagerstown, Maryland and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through November 18, 2027, maintains a secondary practice location in Hagerstown, and lists Christopher David Clark, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1245760875
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NamePREMIERE SPINE AND SPORTS MEDICINE LLC
Location Address13114 PENNSYLVANIA AVEHagerstown, MD 21742-2741
Mailing Address13114 Pennsylvania AveHagerstown, MD 21742-3720 · (301) 800-7770 · Fax (301) 800-7891
Organization SubpartNo
Authorized OfficialChristopher David ClarkOwner/physician · (252) 295-8685
Enumeration DateJune 15, 2017
Last NPPES UpdateNovember 21, 20245 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
NPI 1245760875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
13114 PENNSYLVANIA AVE, Hagerstown, MD 21742

Secondary Practice Location 1

Location 11165 Imperial DrHagerstown, MD 21740-6555 · Phone (301) 800-7770 · Fax (301) 800-7891

Other Identifiers 1

Medicaid659938900MD

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 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 21D2334316

Premier Spine And Sports Medicine LLC · Hagerstown, MD
Active · expires Nov 18, 2027
CLIA Number21D2334316
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorDr. Christopher D. Clark
Laboratory Phone(301) 800-7770
Laboratory LocationPremier Spine And Sports Medicine LLC13144 Pennsylvania Avenue, Hagerstown, MD 21742
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
13114 PENNSYLVANIA AVE
HAGERSTOWN, MD 21742
Counselor (Professional)
13114 PENNSYLVANIA AVE
HAGERSTOWN, MD 21742
Counselor (Addiction (Substance Use Disorder))
13114 PENNSYLVANIA AVE
HAGERSTOWN, MD 21742
Registered Nurse (Addiction (Substance Use Disorder))
13114 PENNSYLVANIA AVE
HAGERSTOWN, MD 21742
Physical Therapist
13114 PENNSYLVANIA AVE
HAGERSTOWN, MD 21742
Physical Medicine & Rehabilitation
13114 PENNSYLVANIA AVE
HAGERSTOWN, MD 21742
Counselor (Professional)
13114 PENNSYLVANIA AVE
HAGERSTOWN, MD 21742
Counselor (Addiction (Substance Use Disorder))
13114 PENNSYLVANIA AVE
HAGERSTOWN, MD 21742

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 Premiere Spine And Sports Medicine LLC's NPI number?

The NPI number for Premiere Spine And Sports Medicine LLC is 1245760875. It was assigned to this organization in the NPPES registry on June 15, 2017.

Where is Premiere Spine And Sports Medicine LLC located?

Premiere Spine And Sports Medicine LLC is located at 13114 Pennsylvania Ave, Hagerstown, MD 21742. The listed phone number is (301) 800-7770.

What is Premiere Spine And Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Does Premiere Spine And Sports Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2334316) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premiere Spine And Sports Medicine LLC was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.