Provider Demographics
NPI:1225998305
Name:PAIN RELIEF SPECIALISTS
Entity type:Organization
Organization Name:PAIN RELIEF SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORIARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-682-2044
Mailing Address - Street 1:915 TOLL HOUSE AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-5901
Mailing Address - Country:US
Mailing Address - Phone:301-682-2044
Mailing Address - Fax:
Practice Address - Street 1:915 TOLL HOUSE AVE STE 305
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5912
Practice Address - Country:US
Practice Address - Phone:301-682-2044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAIN RELIEF SPECIALISTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty