Active NPI
Pavlos Gkikas
- Physical Therapist
- Rockville, MD
National Provider Identifier
1013662667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28733
- Practice address
- 4960 Boiling Brook Pkwy
Rockville, MD 20852-2300 - Phone
- (410) 989-3833
- NPI assigned
- Feb 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28733 | MD | Primary |
Addresses
Primary practice location
4960 Boiling Brook Pkwy
Rockville, MD 20852-2300
Mailing address
2240 Greenspring Dr
Timonium, MD 21093-3114
Phone (571) 215-9651
Other practice location 1
1407 Research Blvd
Rockville, MD 20850-3159
Phone (240) 813-1856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28733 | MD | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1013662667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 GREENSPRING DR",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210933114",
"telephone_number": "571-215-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4960 BOILING BROOK PKWY",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522300",
"telephone_number": "410-989-3833"
}
],
"practiceLocations": [
{
"address_1": "1407 Research Blvd",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208503159",
"country_code": "US",
"telephone_number": "240-813-1856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GKIKAS",
"first_name": "PAVLOS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-12",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.