Individual provider Active NPI

Lauren Gloger Geisbert, DPT

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1124227400
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22278 Issued in MD
Practice address
10840 Little Patuxent Pkwy
Suite 403
Columbia, MD 21044-3115
Phone
(410) 992-9753
Fax
(410) 992-0268
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22278 MD Primary

Addresses

Primary practice location

10840 Little Patuxent Pkwy
Suite 403
Columbia, MD 21044-3115

Mailing address

10840 Little Patuxent Pkwy
Suite 403
Columbia, MD 21044-3115
Phone (410) 992-9753

Other practice location 1

7556 Teague Rd Ste 400
Hanover, MD 21076-1213
Phone (410) 799-4994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000038 MD Practitioner - Physical Therapist in Private Practice 1153562681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

7556 Teague Rd
Suite 240
Hanover, MD 21076-1389
Phone (410) 768-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22278MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 30, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 30, 2016 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

200 Hospital Dr
Ste 400
Glen Burnie, MD 21061
Phone (410) 760-0093

7556 Teague Rd
Ste 400
Hanover, MD 21076
Phone (410) 768-5555

7556 Teague Rd
Ste 240
Hanover, MD 21076
Phone (410) 768-5555

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1124227400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 403",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443115",
            "telephone_number": "410-992-9753",
            "fax_number": "410-992-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 403",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443115",
            "telephone_number": "410-992-9753",
            "fax_number": "410-992-0268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7556 Teague Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "MD",
            "postal_code": "210761213",
            "country_code": "US",
            "telephone_number": "410-799-4994",
            "fax_number": "410-799-1044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEISBERT",
        "first_name": "LAUREN",
        "middle_name": "GLOGER",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.

Verify at the official NPI Registry.