Good Shepherd Physical Therapy and Wellness Center,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GOOD SHEPHERD PHYSICAL THERAPY AND WELLNESS CENTER,LLC

Practice address

16220 Frederick Rd.
Ste. 325
Gaithersburg, MD 20877-4000

Phone

(301) 771-1344

Fax

(240) 387-7387

NPI assigned

Oct 15, 2018

Last updated

Oct 15, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

GOOD SHEPHERD PHYSICAL THERAPY AND WELLNESS CENTER, LLCAs reported in NPPES

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

Authorized official

Name

May G. Rivera

Title

President

Phone

(240) 483-3146

Specialties & licenses 1

Addresses

Tax ID family

Good Shepherd Physical Therapy and Wellness Center LLC2 organizations share this tax ID, including this one

Part of

Good Shepherd Physical Therapy and Wellness Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Good Shepherd Physical Therapy and Wellness Center,LLC

  • Physical Therapist
  • Rockville, MD
  • NPI 1487141487
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Good Shepherd Physical Therapy and Wellness Center,LLC

  • Physical Therapist
  • Rockville, MD
  • NPI 1487141487
  NPPES parent name

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1619443850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE STE 316",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-771-1344",
            "fax_number": "240-387-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD.",
            "address_2": "STE. 325",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774000",
            "telephone_number": "301-771-1344",
            "fax_number": "240-387-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD PHYSICAL THERAPY AND WELLNESS CENTER,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SHEPHERD PHYSICAL THERAPY AND WELLNESS CENTER, LLC",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MAY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-483-3146"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuliana Gomez Paternina
• Irene Guadalupe Gomez, LGPC
• Marylynn Gonsalves, NP
• Kelvin Gonzalez
• Good People Wellness Center, Inc
• Maxim Alexander Goohs
• Anna Marie Gordin, LCSW C
• Gordon Center for General and Advanced Denistry, LLC
• Christy Elaine Gordon, M.S. LCPC
• David Charles Gordon, DDS

• 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 Oct 15, 2018; 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.