Active NPI
Georgallas Physiotherapy, LLC
- Physical Therapist
- Potomac, MD
National Provider Identifier
1336662139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22800
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.