1. Home
  2. Directory
  3. Maryland
  4. Mount Airy
  5. Clinic Center
  6. NPI Profile

PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
NPI 1396338448
Clinic/Center - Rehabilitation, Substance Use Disorder in Mount Airy, MD

Active since February 18, 2021
1704 BACK ACRE CIR, MOUNT AIRY, MD 21771(301) 703-8767 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 11, 2021, Feb 18, 2021 (2 updates tracked since 2021).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC

This page provides the complete NPI Profile along with additional information for Pain And Spine Specialists Of Maryland, Llc, a provider established in Mount Airy, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1396338448 assigned on February 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Staci Powell (Director Of Operations)

NPI
1396338448 Verify this NPI
Provider Name
PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
Entity Type
Organization
Location Address
1704 BACK ACRE CIR MOUNT AIRY, MD 21771
Location Phone
(301) 703-8767
Mailing Address
2702 BACK ACRE CIR # 290B MOUNT AIRY, MD 21771
Mailing Phone
(301) 703-8767
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-18-2021
Last Update Date
03-11-2021
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STACI POWELL

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(443) 701-9295

Reviews for PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

GEMINI HEALTH HOLDINGS LLC
Psychiatry & Neurology (Psychiatry)
1704 BACK ACRE CIR
MOUNT AIRY, MD 21771
Frederick County (301) 703-8767
GEMINI HEALTH HOLDINGS LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1704 BACK ACRE CIR
MOUNT AIRY, MD 21771
Frederick County (301) 703-8767
GEMINI HEALTH HOLDINGS LLC
Psychologist (Addiction (Substance Use Disorder))
1704 BACK ACRE CIR
MOUNT AIRY, MD 21771
Frederick County (301) 703-8767
PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
Social Worker (Clinical)
1704 BACK ACRE CIR
MOUNT AIRY, MD 21771
Frederick County (301) 703-8767

Frequently Asked Questions

What is PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1396338448, enumerated as an "organization" on February 18, 2021.

Where is the provider located?

The provider is located at 1704 BACK ACRE CIR MOUNT AIRY, MD 21771 and the phone number is (301) 703-8767.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.