Active NPI
Steven Gilliam, PT, DPT
- Physical Therapist
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30082
- Practice address
- 4175 N Hanson CT Ste 301
Bowie, MD 20716-3186 - Phone
- (443) 481-1140
- NPI assigned
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MD | ||
| Physical Therapist | 225100000X | 30082 | MD | Primary |
Addresses
Primary practice location
4175 N Hanson CT Ste 301
Bowie, MD 20716-3186
Mailing address
4175 N Hanson CT Ste 301
Bowie, MD 20716-3186
Phone (443) 481-1140
Other practice location 1
740 Maryland Route 3 S
Gambrills, MD 21054-1318
Phone (443) 645-3162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Maryland School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6836 Race Track Rd
Bowie, MD 20715-3011
Phone (301) 805-7004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136
4175 N Hanson Ct
Ste 304
Bowie, MD 20716
Phone (301) 352-4007
4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190
6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004
28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270
8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Annapolis, MD
- NPI 1396122842
Physical Therapist
-
- Physical Therapist
- Annapolis, MD
- NPI 1134763212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1104605047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 N HANSON CT STE 301",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163186",
"telephone_number": "443-481-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 N HANSON CT STE 301",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163186",
"telephone_number": "443-481-1140"
}
],
"practiceLocations": [
{
"address_1": "740 Maryland Route 3 S",
"address_purpose": "LOCATION",
"city": "Gambrills",
"state": "MD",
"postal_code": "210541318",
"country_code": "US",
"telephone_number": "443-645-3162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLIAM",
"first_name": "STEVEN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-28",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "30082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.