NPIMap

Organization Active NPI

Guardian Network

  • Physical Rehabilitation Occupational Therapist
  • District Heights, MD
National Provider Identifier
1730622747
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
001 Issued in MA
Legal business name
GUARDIAN NETWORK
Practice address
2020 Brooks Dr Apt 218
District Heights, MD 20747-1047
Phone
(301) 278-7470
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Dr. Thomas Andre Duane Gibson, M.D.
Title
Pathologist
Phone
(301) 278-7470

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X 001 MA Primary
Critical Access Hospital 282NC0060X 001 MA

Addresses

Primary practice location

2020 Brooks Dr Apt 218
District Heights, MD 20747-1047

Mailing address

2020 Brooks Dr Apt 218
District Heights, MD 20747-1047
Phone (301) 278-7470

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1730622747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BROOKS DR APT 218",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207471047",
            "telephone_number": "301-278-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BROOKS DR APT 218",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207471047",
            "telephone_number": "301-278-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDRE DUANE",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "301-278-7470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MA",
            "license": "001",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MA",
            "license": "001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.