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

Physical Medicine/Rehab

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1255636858

Physical Medicine/Rehab is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Bowie, Maryland. Licensed in Maryland. Registered with an NPI since 2011.

Licensed in
MD
In the registry since
2011

Practice location Address checks out

4000 Mitchellville Rd Ste 324 B
Bowie, MD 20716-3104
Phone: (301) 860-0306
Fax: (301) 860-0307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence D0050415 (MD)

Record details

NPI number1255636858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholette Martin-Davis — Md · (301) 860-0305
NPI enumeratedJanuary 13, 2011
Last updated in NPPESJanuary 13, 2011
Mailing address4000 Mitchellville Rd, Suite 324 B, Bowie, MD 20716-3104

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