OrganizationActive
Pain and Spine Specialists of Maryland, LLC
NPI 1396338448 · Substance Use Disorder Rehabilitation Clinic/Center · Mount Airy, MD
Provider details
- NPI number
- 1396338448
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Staci Powell, Director of Operations(443) 701-9295
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1704 Back Acre Cir
Mount Airy, MD 21771-7768
Phone: (301) 703-8767
Street-level locationGet directions
Mailing address
2702 Back Acre Cir # 290b
Mount Airy, MD 21771-7769
Registry dates
- Enumerated
- 2021-02-18
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.