Active NPI
Eran Kessous MD PC
- Physical Therapy Clinic/Center
- Gaithersburg, MD
National Provider Identifier
1265245229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ERAN KESSOUS MD PC
- Practice address
- 800 S Frederick Ave Ste 203
Gaithersburg, MD 20877-4152 - Phone
- (301) 754-0505
- Fax
- (301) 754-0509
- NPI assigned
- Jan 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dona Bowie
- Title
- Biller
- Phone
- (301) 254-6364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
800 S Frederick Ave Ste 203
Gaithersburg, MD 20877-4152
Mailing address
11120 New Hampshire Ave Ste 411
Silver Spring, MD 20904-2620
Phone (301) 754-0505
Other names 1
- Montgomery Sports Medicine
National Provider Directory
National Provider Directory- Tax ID family
- Montgomery Sports Medicine Center
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Silver Spring, MD
- NPI 1104282409
-
- Durable Medical Equipment & Medical Supplies
- Gaithersburg, MD
- NPI 1407654031
-
- Sports Medicine (Family Medicine) Physician
- Silver Spring, MD
- NPI 1538392964
-
- Sports Medicine (Internal Medicine) Physician
- Gaithersburg, MD
- NPI 1922829712
-
- Sports Medicine (Family Medicine) Physician
- Bethesda, MD
- NPI 1043898018
Locations
800 S Frederick Ave
Ste 203
Gaithersburg, MD 20877
Phone (301) 754-0505
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Silver Spring, MD
- NPI 1821033358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1265245229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 NEW HAMPSHIRE AVE STE 411",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042620",
"telephone_number": "301-754-0505",
"fax_number": "301-754-0509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S FREDERICK AVE STE 203",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208774152",
"telephone_number": "301-754-0505",
"fax_number": "301-754-0509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERAN KESSOUS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-31",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "BOWIE",
"authorized_official_first_name": "DONA",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "301-254-6364"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Montgomery Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.