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PREMIERE SPINE AND SPORTS MEDICINE LLC NPI 1245760875


NPI Information

NPI: 1245760875
Provider Name: PREMIERE SPINE AND SPORTS MEDICINE LLC
Classification: Physical Medicine & Rehabilitation - 208100000X
Entity Type: Organization
Address:
1165 IMPERIAL DR
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 800-7770
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PREMIERE SPINE AND SPORTS MEDICINE LLC is a physical medicine rehabilitation in Hagerstown, MD. The provider is physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. PREMIERE SPINE AND SPORTS MEDICINE LLC NPI is 1245760875. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1165 IMPERIAL DR
HAGERSTOWN, MD
ZIP 21740-555
Phone: (301) 800-7770
Fax: (301) 800-7891

The provider's authorized official is Christopher D Clark .
The authorized official title is Md/owner and has the following contact phone number (301) 800-7770.

The enumeration date for this NPI number is 6/15/2017 and was last updated on 12/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1659938900MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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