Individual provider Active NPI

Emily Groschan Gibson, PT, DPT

  • Physical Therapist
  • Lutherville, MD
National Provider Identifier
1750622262
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2556 Issued in MD
Practice address
2328 West Joppa Road
Suite 300
Lutherville, MD 21093
Phone
(410) 938-8660
Fax
(410) 938-8664
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9661 CT
Physical Therapist 225100000X 2556 MD Primary

Addresses

Primary practice location

2328 West Joppa Road
Suite 300
Lutherville, MD 21093

Mailing address

2328 West Joppa Road
Suite 300
Lutherville, MD 21093
Phone (410) 938-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190124000572 MD Practitioner - Physical Therapist in Private Practice 8426298696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Groschan Physical Therapy Specialists LLCGroup PAC ID 4587025077, 6 clinicians

Practice addresses (Care Compare)

2328 W Joppa Rd
Suite 300
Lutherville, MD 21093-4685
Phone (410) 938-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2556MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Groschan and Associates PA Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Groschan Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 19, 2023 Accepting new patients
Grey Physical Therapy & Sports Medicine Center of Enfield, PC Physical Therapist PastSince Jul 30, 2015 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

2328 W Joppa Rd
Ste 300
Timonium, MD 21093
Phone (410) 494-0022

Organizations & group practices 3

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": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1750622262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 WEST JOPPA ROAD",
            "address_2": "SUITE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-938-8660",
            "fax_number": "410-938-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 WEST JOPPA ROAD",
            "address_2": "SUITE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-938-8660",
            "fax_number": "410-938-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "EMILY",
        "middle_name": "GROSCHAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9661",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "2556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.