Organization Active NPI

Georgallas Physiotherapy, LLC

  • Physical Therapist
  • Potomac, MD
National Provider Identifier
1336662139
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22800 Issued in MD
Legal business name
GEORGALLAS PHYSIOTHERAPY, LLC
Practice address
11820 Gregerscroft Rd
Potomac, MD 20854-2143
Phone
(240) 388-5035
NPI assigned
Jul 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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

Authorized official

Name
Dr. Lambros C Georgallas, DPT
Title
Physical Therapist, Owner/Founder
Phone
(240) 388-5035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 22800 MD Primary

Addresses

Primary practice location

11820 Gregerscroft Rd
Potomac, MD 20854-2143

Mailing address

11820 Gregerscroft Rd
Potomac, MD 20854-2143

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1336662139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 GREGERSCROFT RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 GREGERSCROFT RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542143",
            "telephone_number": "240-388-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGALLAS PHYSIOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "GEORGALLAS",
        "authorized_official_first_name": "LAMBROS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER/FOUNDER",
        "authorized_official_telephone_number": "240-388-5035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.