Individual provider Active NPI

Nicolas Gay, PT, DPT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1144878190
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213096 Issued in VA
Practice address
3620 Joseph Siewick Dr
Suite 201
Fairfax, VA 22033-1758
Phone
(703) 391-0111
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 2305213096 VA Primary

Addresses

Primary practice location

3620 Joseph Siewick Dr
Suite 201
Fairfax, VA 22033-1758

Mailing address

3620 Joseph Siewick Drive
Suite 201
Fairfax, VA 22033
Phone (703) 391-0111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nicolas@fairoaksortho.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190927000183 DC Practitioner - Physical Therapist in Private Practice 3577893940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bethesda Physical TherapyGroup PAC ID 9032169529, 16 clinicians

Practice addresses (Care Compare)

10901 Connecticut Ave
Suite 201
Kensington, MD 20895-1645
Phone (240) 558-4404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaddegh Physical Therapy Inc Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Bethesda Physical Therapy Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients

Locations

6410 Rockledge Dr
Ste 301
Bethesda, MD 20817
Phone (301) 520-3455

7500 Hanover Pkwy
Ste 103
Greenbelt, MD 20770
Phone (301) 446-1644

10901 Connecticut Ave
Ste 201
Kensington, MD 20895
Phone (240) 558-4404

10901 Connecticut Ave
Kensington, MD 20895
Phone (301) 942-7900

17902 Georgia Ave
Ste 100
Olney, MD 20832
Phone (301) 260-8383

17902 Georgia Ave
Ste 220
Olney, MD 20832

Interoperability endpoints

  • Direct secure messaging: nicolas@fairoaksortho.com

Organizations & group practices 2

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1144878190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DRIVE",
            "address_2": "SUITE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "703-391-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "SUITE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331758",
            "telephone_number": "703-391-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "NICOLAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nicolas@fairoaksortho.com",
            "affiliation": "N",
            "endpointDescription": "Email for direct patient communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email for direct patient communication",
            "address_1": "3620 Joseph Siewick Dr Ste 201",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.