Active NPI
Ani Kholanian Gibson, P.T.
- Physical Therapist
- Kensington, MD
National Provider Identifier
1053433193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17669
- Practice address
- 3618 Littledale Rd
Kensington, MD 20895-3434 - Phone
- (301) 946-7700
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- 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 | 17669 | MD | Primary |
Addresses
Primary practice location
3618 Littledale Rd
Kensington, MD 20895-3434
Mailing address
7 Harvard CT
Rockville, MD 20850-1148
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17669 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053433193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HARVARD CT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3618 LITTLEDALE RD",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208953434",
"telephone_number": "301-946-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ANI",
"middle_name": "KHOLANIAN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "17669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.