Individual provider Active NPI

Gabriel A Ukwuoma, PT, DPT

  • Physical Therapist
  • Lutherville Timonium, MD
National Provider Identifier
1770156309
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28547 Issued in MD
Practice address
2118 Greenspring Dr Ste 200
Lutherville Timonium, MD 21093-3112
Phone
(410) 512-5820
NPI assigned
Jul 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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 28547 MD Primary

Addresses

Primary practice location

2118 Greenspring Dr Ste 200
Lutherville Timonium, MD 21093-3112

Mailing address

3 Green Mountain CT Apt E
Owings Mills, MD 21117-3857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230627002612 DC Practitioner - Physical Therapist in Private Practice 8729446430 Reassigns benefits to 1 organization
I20240418001392 MD Practitioner - Physical Therapist in Private Practice 8729446430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Health Physical Therapy at Home LLCGroup PAC ID 7012379134, 15 clinicians
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

Columbia, MD 21044
Phone (301) 540-6140

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28547MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 13, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients

Locations

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (301) 818-1575

10980 Grantchester Way
Columbia, MD 21044
Phone (410) 772-6500

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1770156309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GREEN MOUNTAIN CT APT E",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 GREENSPRING DR STE 200",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210933112",
            "telephone_number": "410-512-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKWUOMA",
        "first_name": "GABRIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.