Individual provider Active NPI

Elizabeth Anne Gurdian, PT

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1174128508
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046362 Issued in NY
Practice address
515 Oak Knoll Ter
Rockville, MD 20850-7806
Phone
(240) 274-0199
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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 046362 NY Primary

Addresses

Primary practice location

515 Oak Knoll Ter
Rockville, MD 20850-7806

Mailing address

515 Oak Knoll Ter
Rockville, MD 20850-7806
Phone (240) 274-0199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209003639 DC Practitioner - Physical Therapist in Private Practice 6406256569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Total Health Physical Therapy LLCGroup PAC ID 3971634890, 5 clinicians

Practice addresses (Care Compare)

1712 I St NW
Suite 305
Washington, DC 20006-3766
Phone (202) 669-8098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046362NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Physical Therapy Physical Therapist CurrentSince Sep 27, 2024 Accepting new patients

Locations

1712 I St NW
Ste 305
Washington, DC 20006
Phone (202) 669-8098

Organizations & group practices 1

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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1174128508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 OAK KNOLL TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507806",
            "telephone_number": "240-274-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 OAK KNOLL TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507806",
            "telephone_number": "240-274-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURDIAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.