Individual provider Active NPI

Gabrielle Rae Mace, DPT

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1154066231
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28752 Issued in MD
Practice address
12200 Tech Rd Ste 120
Silver Spring, MD 20904-7871
Phone
(301) 588-3929
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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 28752 MD Primary

Addresses

Primary practice location

12200 Tech Rd Ste 120
Silver Spring, MD 20904-7871

Mailing address

8470 Pamela Way
Laurel, MD 20723-1303
Phone (803) 627-2043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609000541 MD Practitioner - Physical Therapist in Private Practice 2769953926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

11270 Pepper Rd
Hunt Valley, MD 21031-1202
Phone (443) 441-0630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28752MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arso Neuro Rehab and Orthopedic Center Physical Therapist CurrentSince Jul 10, 2022 Accepting new patients
Arso Neuro Rehab and Orthopedic Center, LLC PastSince May 8, 2022 Accepting new patients

Locations

12200 Tech Rd
Ste 120
Silver Spring, MD 20904
Phone (301) 588-3929

Interoperability endpoints

  • Direct secure messaging: gabrielle.mace.1@8042.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1154066231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 PAMELA WAY",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231303",
            "telephone_number": "803-627-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 TECH RD STE 120",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047871",
            "telephone_number": "301-588-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "GABRIELLE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.