OrganizationActive
Spine Pain Rehab, LLC
NPI 1114255114 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Voorhees, NJ
Provider details
- NPI number
- 1114255114
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jo Bowen, Billing Manager(609) 261-5755
- License
- 25MA06687200 (NJ)
Specialties & taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081P2900XLicense 25MA06687200 (NJ)
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 White Horse Rd
Suite 1
Voorhees, NJ 08043-2494
Phone: (609) 581-2700
Fax: (609) 261-7199
Street-level locationGet directions
Mailing address
Po Box 154
Marlton, NJ 08053-0154
Registry dates
- Enumerated
- 2009-12-02
- Last updated
- 2009-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.