Active NPI
Mirsada Gudic, DPT
- Physical Therapist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT024208
- Practice address
- 650 Pennsylvania Ave SE Ste 170
Washington, DC 20003 - Phone
- (202) 544-4874
- NPI assigned
- Dec 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT024208 | PA | Primary |
Addresses
Primary practice location
650 Pennsylvania Ave SE Ste 170
Washington, DC 20003
Mailing address
5252 Lyngate CT Ste 203
Burke, VA 22015-1673
Phone (703) 239-2300
Other practice location 1
510 Brookmont Dr
Effort, PA 18330-9534
Phone (610) 681-4070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1184
Phone (301) 530-1010
9601 Blackwell Rd
Suite 100
Rockville, MD 20850-6477
Phone (301) 340-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26383 | MD | MD | Pharmacist |
| PT024208 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| MGPT, LLC | Current | Accepting new patients | |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Hand Therapy Experts, LLC | Past | Accepting new patients | |
| Active Physical Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
| Progressive Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280
536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Bethesda, MD
- NPI 1477583599
DC
-
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC, Physical Therapist
-
- Physical Therapy Clinic/Center
- Rockville, MD
- NPI 1851917892
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
- Physical Therapist
- Washington, DC
- NPI 1487139309
-
- Physical Therapist
- Laurel, MD
- NPI 1225217334
-
- Occupational Therapist
- Burke, VA
- NPI 1366860280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1366830457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5252 LYNGATE CT STE 203",
"city": "BURKE",
"state": "VA",
"postal_code": "220151673",
"telephone_number": "703-239-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 PENNSYLVANIA AVE SE STE 170",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20003",
"telephone_number": "202-544-4874"
}
],
"practiceLocations": [
{
"address_1": "510 Brookmont Dr",
"address_purpose": "LOCATION",
"city": "Effort",
"state": "PA",
"postal_code": "183309534",
"country_code": "US",
"telephone_number": "610-681-4070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUDIC",
"first_name": "MIRSADA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-26",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.