Individual provider Active NPI

Gary Katz, PT

  • Physical Therapist
  • Westminster, MD
National Provider Identifier
1679550099
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17497 Issued in MD
Practice address
511 Jermor LN
Suite B
Westminster, MD 21157-6151
Phone
(410) 876-8076
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17497 MD Primary

Addresses

Primary practice location

511 Jermor LN
Suite B
Westminster, MD 21157-6151

Mailing address

12607 Nancy Lee CT
Reisterstown, MD 21136-5545

Other identifiers 5

IdentifierTypeStateIssuer
7914198OtherAETNA
2160584OtherUNITED HEALTHCARE
T208OtherBLUECHOICE/GHMSI
2160584OtherACN
542610-31OtherBCBS OF MARYLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17497MSMDInternal Medicine Physician
17497MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist PastSince Dec 1, 2008 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist PastSince Nov 30, 2016 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist Past Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist PastSince Jan 1, 2001 Accepting new patients
Professional Sportscare, LLC Physical Therapist PastSince Oct 31, 2013 Accepting new patients
Bayside Physical Therapy, L.L.C. Physical Therapist PastSince Apr 27, 2015 Accepting new patients
Maryland Sportscare & Rehab LLC Past Accepting new patients

Organizations & group practices 7

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1679550099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12607 NANCY LEE CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 JERMOR LN",
            "address_2": "SUITE B",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576151",
            "telephone_number": "410-876-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "GARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7914198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2160584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE/GHMSI",
            "identifier": "T208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "2160584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND",
            "identifier": "542610-31",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.