Active NPI
Phillip Gatchalian
- Physical Therapist
- Hagerstown, MD
National Provider Identifier
1700215951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23469
- Practice address
- 14014 Marsh Pike
Hagerstown, MD 21742-1638 - Phone
- (301) 864-2333
- NPI assigned
- Nov 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23469 | MD | Primary |
Addresses
Primary practice location
14014 Marsh Pike
Hagerstown, MD 21742-1638
Mailing address
4922 Lasalle Rd
Hyattsville, MD 20782-3302
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23469 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1700215951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4922 LASALLE RD",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207823302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14014 MARSH PIKE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217421638",
"telephone_number": "301-864-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATCHALIAN",
"first_name": "PHILLIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.