Organization Active NPI

Eran Kessous MD PC

  • Physical Therapy Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1265245229
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Oct 21, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Montgomery Sports Medicine Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.