Premise Health Of Maryland Medical P C
Clinic/Center, Physical Therapy in Gaithersburg, MD. Organization (NPI-2).
Details
- NPI
- 1235942467
- Entity type
- Organization (NPI-2)
- Legal business name
- Premise Health Of Maryland Medical P C
- Organization subpart
- No
- Enumeration date
- Jan 30, 2025
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Az Employee Health And Wellness Center Gaithersburg Physical Therapy (Doing Business As)
Practice location
101 Orchard Ridge DrGaithersburg, MD 20878-1917
Phone 301-398-6893 · Fax 301-398-6893
Mailing address
5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone 301-398-6893 · Fax 301-398-6893
Authorized official
Jonathan B Leizman
President
2164799063
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Physical Therapy Clinic/Center providers in Gaithersburg · All 3,595 providers in Gaithersburg
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