Individual provider Active NPI

Gregory Musacchio

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1235744871
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28087 Issued in MD
Practice address
9192 Red Branch Rd Ste 290
Columbia, MD 21045-2004
Phone
(410) 442-8007
NPI assigned
Sep 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 28087 MD Primary

Addresses

Primary practice location

9192 Red Branch Rd Ste 290
Columbia, MD 21045-2004

Mailing address

9192 Red Branch Rd Ste 290
Columbia, MD 21045-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240415001787 DC Practitioner - Physical Therapist in Private Practice 3072952795 Reassigns benefits to 1 organization
I20240415002164 MD Practitioner - Physical Therapist in Private Practice 3072952795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28087MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 3, 2024 Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 3, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 3, 2024 Accepting new patients

Locations

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1235744871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9192 RED BRANCH RD STE 290",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9192 RED BRANCH RD STE 290",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452004",
            "telephone_number": "410-442-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSACCHIO",
        "first_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28087",
            "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 Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.