Organization Active NPI

GML Physical Therapy LLC

  • Physical Therapist
  • Forest Hill, MD
National Provider Identifier
1255415436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GML PHYSICAL THERAPY LLC
Practice address
2217 Commerce Rd
Forest Hill, MD 21050-2565
Phone
(410) 638-0700
Fax
(410) 638-6790
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dennis J Coady
Title
Business Manager
Phone
(410) 638-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X MD Primary

Addresses

Primary practice location

2217 Commerce Rd
Forest Hill, MD 21050-2565

Mailing address

2217 Commerce Rd
Forest Hill, MD 21050-2565
Phone (410) 638-0700

Other identifiers 4

IdentifierTypeStateIssuer
S272OtherMDCARE FIRST HMO
2660198OtherMDAETNA HMO
LX64GMOtherMDCAERFIRST BC/BS
7506321OtherMDAETNA PPO

Other names 1

  • Gary Lynch Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512001322 MD Part B Supplier - Clinic/Group Practice 4183614233 Receives reassigned benefits from 5 practitioners
Practice locations: Forest Hill, MD

National Provider Directory

National Provider Directory

Locations

2217 Commerce Rd
Forest Hill, MD 21050
Phone (410) 638-0700

2217 Commerce Rd
Ste 1
Forest Hill, MD 21050
Phone (410) 459-3210

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255415436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 COMMERCE RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502565",
            "telephone_number": "410-638-0700",
            "fax_number": "410-638-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 COMMERCE RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502565",
            "telephone_number": "410-638-0700",
            "fax_number": "410-638-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GML PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COADY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "410-638-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST HMO",
            "identifier": "S272",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2660198",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAERFIRST BC/BS",
            "identifier": "LX64GM",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7506321",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary Lynch Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.