PHYSICAL MEDICINE ASSOCIATES, LTD
NPI 1386015972
Pain Medicine - Interventional Pain Medicine in Charlottesville, VA

NPI Status: Active since October 08, 2015

Contact Information

1460 PANTOPS MOUNTAIN PL
SUITE 2B
CHARLOTTESVILLE, VA
ZIP 22911
Phone: (434) 234-4910
Fax: (434) 327-1799

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • CLIA Number: 21D2004495
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-04-2026

About PHYSICAL MEDICINE ASSOCIATES, LTD

This page provides the complete NPI Profile along with additional information for Physical Medicine Associates, Ltd, a provider established in Charlottesville, Virginia operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1386015972 assigned on October 2015. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated May 2025. Physical Medicine Associates, Ltd operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mayo Fridelis M.d. (Partner)

NPI
1386015972
Provider Legal Name
PHYSICAL MEDICINE ASSOCIATES, LTD
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1460 PANTOPS MOUNTAIN PL SUITE 2B CHARLOTTESVILLE, VA 22911
Location Phone
(434) 234-4910
Location Fax
(434) 327-1799
Mailing Address
PO BOX 931656 ATLANTA, GA 31193
Mailing Phone
(855) 836-7246
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-08-2015
Last Update Date
05-12-2025
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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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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

MAYO FRIDELIS M.D.

Authorized Official Title
PARTNER
Authorized Official Phone
(703) 914-8000

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
21D2004495
Facility Type
Physician Office
Certificate Effective Date
March 05, 2024
Certificate Expiration Date
March 04, 2026
Laboratory Director
ARTHUR P. BARLETTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Physical Medicine Associates, Ltd to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386015972
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231660110914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 0 + 1 + 1 + 0 + 9 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1386015972 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770547036DVA RENAL HEALTHCARE INC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)1460 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA 22911
(434) 979-5997
1912612581 KORINNA WEBER
Individual
Physical Therapist1460 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA 22911
(434) 817-4100
1457020059DR. HAYLEY LAUREN DAVIS PT, DPT, LMT
Individual
Physical Therapist1460 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA 22911
(434) 817-4100
1407268154 NATHANIEL T GILLISPIE PT, DPT
Individual
Physical Therapist1460 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA 22911
(434) 817-4100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386015972, enumerated in the NPI registry as an "organization" on October 08, 2015

The provider is located at 1460 Pantops Mountain Pl Suite 2b Charlottesville, Va 22911 and the phone number is (434) 234-4910

This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine

The provider's CLIA number is 21D2004495 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 08, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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