Premise Health of Maryland Medical P C
Organization Active NPI Physical Therapy Clinic/Center · Gaithersburg, MD
NPI 1235942467 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1235942467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- PREMISE HEALTH OF MARYLAND MEDICAL P C
- Practice address
- 101 Orchard Ridge Dr
Gaithersburg, MD 20878-1917 - Phone
- (301) 398-6893
- Fax
- (301) 398-6893
- NPI assigned
- Jan 30, 2025
- Organization subpart
- No
Authorized official
- Name
- Jonathan B Leizman
- Title
- President
- Phone
- (216) 479-9063
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Family Health Center Williamsport
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
101 Orchard Ridge Dr
Gaithersburg, MD 20878-1917
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Phone (301) 398-6893
Other names
- AZ Employee Health and Wellness Center Gaithersburg Physical Therapy
Other providers in Gaithersburg, MD
- Lisa Povich
- Domonique Powell
- Norita Prather
- Precision Hearing Care
- Precision Orthopedics and Sports Medicine
- Premise Health of Maryland Medical P C
- Premise Health of Maryland Medical P C
- Ashley Nicole Prescott
- Tyler Presjak
- Pressed Behavioral Health LLC
All providers in Gaithersburg, MD · Physical Therapy Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.