Active NPI
Nicolas Gay, PT, DPT
- Physical Therapist
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305213096
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Nicolas@fairoaksortho.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaddegh Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Bethesda Physical Therapy | Physical Therapist | Current | 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
- 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.