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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1932242542

Dr. Tristan J Shockley, MD is a Physical Medicine and Rehabilitation in Laurel, Maryland. Qualified in 2010, 16 years ago. Practices with Choice Pain and Rehabilitation Center LLC, a 14-clinician group. Licensed in District of Columbia and Maryland.

Years since qualifying
16
Licensed in
DC, MD
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14205 Park Center Dr Ste 204
Laurel, MD 20707-5246
Phone: (240) 786-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence D0068884 (MD)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence MD038330 (DC)

Record details

NPI number1932242542
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Choice Pain And Rehabilitation Center Llc — 14 clinicians
Accepts Medicare assignment Not indicated
Practice locations9 on file with Medicare

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