Individual provider Active NPI

Sammy Nguyen

  • Physical Therapist
  • Gaithersburg, MD
National Provider Identifier
1457071128
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29405 Issued in MD
Practice address
501 N Frederick Ave Ste 306
Gaithersburg, MD 20877-2507
Phone
(301) 990-6674
NPI assigned
Sep 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 29405 MD Primary

Addresses

Primary practice location

501 N Frederick Ave Ste 306
Gaithersburg, MD 20877-2507

Mailing address

12220 Elm Forest CT Unit E
Clarksburg, MD 20871-3374

Other practice location 1

65 Thomas Johnson Dr Ste D
Frederick, MD 21702-4371
Phone (301) 663-7898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230612002189 MD Practitioner - Physical Therapist in Private Practice 9830556513 Reassigns benefits to 2 organizations
I20250715004214 DC Practitioner - Physical Therapist in Private Practice 9830556513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

1106 Annapolis Rd
Suite 120
Odenton, MD 21113-1738
Phone (410) 674-1650

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29405MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince May 9, 2025 Accepting new patients
Spring Ridge Physical Therapy Physical Therapist CurrentSince May 30, 2023 Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 9, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince May 9, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients

Locations

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

9093 Ridgefield Dr
Ste 201
Frederick, MD 21701
Phone (301) 696-5595

65 Thomas Johnson Dr
Ste D
Frederick, MD 21702
Phone (301) 663-7598

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1457071128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 ELM FOREST CT UNIT E",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208713374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE STE 306",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772507",
            "telephone_number": "301-990-6674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Thomas Johnson Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024371",
            "country_code": "US",
            "telephone_number": "301-663-7898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SAMMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 24, 2024; 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.