Individual provider Active NPI

Yordanos Gezai Michael, DPT

  • Physical Therapist
  • College Park, MD
National Provider Identifier
1316197650
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21039 Issued in MD
Practice address
9304 Cherry Hill Rd
102
College Park, MD 20740-1223
Phone
(301) 602-3329
NPI assigned
Sep 23, 2008
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21039 MD Primary
Geriatric Physical Therapist 2251G0304X NU
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X 21039 MD

Addresses

Primary practice location

9304 Cherry Hill Rd
102
College Park, MD 20740-1223

Mailing address

9304 Cherry Hill Rd
102
College Park, MD 20740-1223
Phone (301) 602-3329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201103001532 DC Practitioner - Physical Therapist in Private Practice 5597175505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2021 K St NW
Suite 615
Washington, DC 20006-1066
Phone (301) 498-0383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21039MDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine CurrentSince Nov 1, 2021 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Nov 1, 2021 Accepting new patients
Precision Orthopedics and Sports Medicine Current Accepting new patients
Precision Orthopedics and Sports Medicine PastSince Apr 21, 2024 Accepting new patients

Locations

2021 K St NW
Ste 615
Washington, DC 20006
Phone (202) 808-8295

12414 Naves Cross Rd NE
Cumberland, MD 21502
Phone (240) 808-8482

309 Willowbrook Rd
Ste 2
Cumberland, MD 21502
Phone (301) 777-2170

610 Professional Dr
Ste 270
Gaithersburg, MD 20879
Phone (240) 808-8482

7501 Greenway Center Dr
Ste 220
Greenbelt, MD 20770
Phone (240) 965-7358

16 N La Plata Ct
La Plata, MD 20646
Phone (301) 392-3330

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

880 Memorial Dr
Oakland, MD 21550
Phone (301) 334-4041

220 Solomons Island Rd N
Prnc Frederck, MD 20678
Phone (410) 535-4884

12090 Old Line Ctr
#R10A
Waldorf, MD 20602
Phone (301) 498-0333

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1316197650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 CHERRY HILL RD",
            "address_2": "102",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401223",
            "telephone_number": "301-602-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 CHERRY HILL RD",
            "address_2": "102",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401223",
            "telephone_number": "301-602-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "YORDANOS",
        "middle_name": "GEZAI",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21039",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "21039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.