Pillar Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22355 Issued in MD

Legal business name

PILLAR PHYSICAL THERAPY LLC

Practice address

814 W Diamond Ave Ste 220
Gaithersburg, MD 20878-1444

Phone

(202) 557-5066

NPI assigned

Sep 1, 2015

Last updated

Nov 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yevgeniy Rubtsov, DPT

Title

Owner

Phone

(202) 557-5066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1508233958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W DIAMOND AVE STE 220",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781444",
            "telephone_number": "202-224-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W DIAMOND AVE STE 220",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781444",
            "telephone_number": "202-557-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLAR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "RUBTSOV",
        "authorized_official_first_name": "YEVGENIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-557-5066",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.