Individual provider Active NPI

Nicole Gaither, PT, DPT

  • Physical Therapist
  • Linthicum, MD
National Provider Identifier
1801308895
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17270 Issued in MD
Practice address
891 Elkridge Landing Rd Ste 150
Linthicum, MD 21090-2934
Phone
(443) 410-3132
Fax
(410) 487-6145
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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 17270 MD Primary

Addresses

Primary practice location

891 Elkridge Landing Rd Ste 150
Linthicum, MD 21090-2934

Mailing address

891 Elkridge Landing Rd Ste 150
Linthicum, MD 21090-2934
Phone (443) 410-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040419001688 MD Practitioner - Physical Therapist in Private Practice 0345235255 Reassigns benefits to 1 organization
I20190313002584 DC Practitioner - Physical Therapist in Private Practice 0345235255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

839 Elkridge Landing Rd
Suite 207
Linthicum, MD 21090-2946
Phone (443) 410-3132

891 Elkridge Landing Rd
Suite 150
Linthicum, MD 21090-2934
Phone (443) 410-3132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17270MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ndgait Consulting Physical Therapy & Rehabilitative Services LLC Physical Therapist CurrentSince May 1, 2019 Accepting new patients
Salus Capital Inc Physical Therapist CurrentSince Jan 7, 2020 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients
Malika Rasheed PA Physical Therapist Past Accepting new patients

Locations

1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348

891 Elkridge Landing Rd
Ste 150
Linthicum, MD 21090
Phone (443) 410-3132

839 Elkridge Landing Rd
Ste 207
Linthicum Heights, MD 21090
Phone (443) 410-3132

2120 Industrial Pkwy
Silver Spring, MD 20904
Phone (240) 421-9614

Organizations & group practices 4

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1801308895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 ELKRIDGE LANDING RD STE 150",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902934",
            "telephone_number": "443-410-3132",
            "fax_number": "410-487-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 ELKRIDGE LANDING RD STE 150",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902934",
            "telephone_number": "443-410-3132",
            "fax_number": "410-487-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITHER",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.