Organization Active NPI

Appliedortho Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1659544302
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
21497 Issued in MD
Legal business name
APPLIEDORTHO PHYSICAL THERAPY LLC
Practice address
704 Lake Varuna Mews
Gaithersburg, MD 20878-3208
Phone
(240) 683-6185
Fax
(240) 683-6185
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
John Michael Kitchen, PT
Title
President/Owner
Phone
(240) 683-6185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 21497 MD Primary

Addresses

Primary practice location

704 Lake Varuna Mews
Gaithersburg, MD 20878-3208

Mailing address

704 Lake Varuna Mews
Gaithersburg, MD 20878-3208
Phone (240) 683-6185

Other identifiers 2

IdentifierTypeStateIssuer
H325OtherDCBCBS DC
FS04JMOtherMDCARE FIRST

National Provider Directory

National Provider Directory

Locations

19504 Doctors Dr
Germantown, MD 20874
Phone (301) 515-1069

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1659544302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LAKE VARUNA MEWS",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208783208",
            "telephone_number": "240-683-6185",
            "fax_number": "240-683-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LAKE VARUNA MEWS",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208783208",
            "telephone_number": "240-683-6185",
            "fax_number": "240-683-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIEDORTHO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "KITCHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "240-683-6185",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "21497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC",
            "identifier": "H325",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "FS04JM",
            "state": "MD"
        }
    ],
    "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 Feb 25, 2009; 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.