CHOICE PAIN & REHABILITATION CENTER, LLC
NPI 1477948842
Physical Medicine & Rehabilitation - Pain Medicine in Baltimore, MD

NPI Status: Active since April 02, 2015

Contact Information

1005 NORTHPOINT BLVD STE 722
BALTIMORE, MD
ZIP 21224
Phone: (240) 786-1001
Fax: (240) 786-1002

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  • Organization
  • Physical Medicine & Rehabilitation
  • Pain Medicine
  • CLIA Number: 21D2093495
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-30-2026

About CHOICE PAIN & REHABILITATION CENTER, LLC

This page provides the complete NPI Profile along with additional information for Choice Pain & Rehabilitation Center, Llc, a provider established in Baltimore, Maryland operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1477948842 assigned on April 2015. The practitioner's primary taxonomy code is 2081P2900X with license number D008884 (MD). The provider is registered as an organization and their NPI record was last updated 4 years ago. Choice Pain & Rehabilitation Center, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Choice Pain & Rehabilitation Center, Llc. The authorized official of this NPI record is Dr. Tristan Julius Shockley Md (Medical Director)

NPI
1477948842
Provider Legal Name
CHOICE PAIN & REHABILITATION CENTER, LLC
Other Organization Name
CHOICE PAIN & REHABILITATION CENTER, LLC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1005 NORTHPOINT BLVD STE 722 BALTIMORE, MD 21224
Location Phone
(240) 786-1001
Location Fax
(240) 786-1002
Mailing Address
8843 GREENBELT RD STE 117 GREENBELT, MD 20770
Mailing Phone
(240) 786-1001
Mailing Fax
(240) 786-1002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2015
Last Update Date
11-01-2022
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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

Physical Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
License No.
D008884
License State
MD
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. TRISTAN JULIUS SHOCKLEY MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(202) 489-1100

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2093495
Facility Type
Physician Office
Certificate Effective Date
August 31, 2024
Certificate Expiration Date
August 30, 2026
Laboratory Director
TRISTAN SHOCKLEY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Choice Pain & Rehabilitation Center, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477948842, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 8 + 4 + 1 + 6 + 8 + 8 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1477948842.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477948842, enumerated as an "organization" on April 02, 2015.

The provider is located at 1005 NORTHPOINT BLVD STE 722 BALTIMORE, MD 21224 and the phone number is (240) 786-1001.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.