Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Spine and Pain PLLC

Organization Orthopaedic Surgery Physician · NPI 1134748221

Advanced Spine and Pain PLLC is an Orthopaedic Surgery Physician in Fairfax, Virginia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11230 Waples Mill Rd Ste 114C
Fairfax, VA 22030-5026
Phone: (703) 522-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1134748221
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Raley — Owner · (703) 522-2727
NPI enumeratedApril 9, 2020
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020
Mailing address450 Garrisonville Rd # 210, Stafford, VA 22554-1615

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