OrganizationActive
Advanced Spine and Pain PLLC
NPI 1134748221 · Orthopaedic Surgery Physician · Fairfax, VA
Provider details
- NPI number
- 1134748221
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Raley, Owner(703) 522-2727
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11230 Waples Mill Rd Ste 114c
Fairfax, VA 22030-5026
Phone: (703) 522-2727
Approximate (ZIP-level) locationGet directions
Mailing address
450 Garrisonville Rd # 210
Stafford, VA 22554-1615
Registry dates
- Enumerated
- 2020-04-09
- Last updated
- 2020-04-09
- Certified
- 2020-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.