Individual provider Active NPI

Eugene Victor Trembisky, MPT

  • Orthopedic Physical Therapist
  • Rockville, MD
National Provider Identifier
1841317849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
20284 Issued in MD
Practice address
9850 Key West Ave
Suite 120
Rockville, MD 20850-3960
Phone
(301) 589-3324
Fax
(301) 681-7575
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 20284 MD Primary

Addresses

Primary practice location

9850 Key West Ave
Suite 120
Rockville, MD 20850-3960

Mailing address

1400 Forest Glen Rd
Suite 400
Silver Spring, MD 20910-1459
Phone (301) 589-3324

Other identifiers 1

IdentifierTypeStateIssuer
20284OtherMDDEPT OF HEALTH AND MENTAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001618 DC Practitioner - Physical Therapist in Private Practice 3577523794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6000 Executive Blvd
Suite 300
Rockville, MD 20852-3803
Phone (301) 468-8999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20284MDMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Apr 27, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopedic Current Accepting new patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Apr 27, 2018 Accepting new patients

Locations

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

6000 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 468-8999

1400 Forest Glen Rd
Ste 400
Silver Spring, MD 20910
Phone (301) 251-0509

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841317849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FOREST GLEN RD",
            "address_2": "SUITE 400",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101459",
            "telephone_number": "301-589-3324",
            "fax_number": "301-681-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 KEY WEST AVE",
            "address_2": "SUITE 120",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503960",
            "telephone_number": "301-589-3324",
            "fax_number": "301-681-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBISKY",
        "first_name": "EUGENE",
        "middle_name": "VICTOR",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "20284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH AND MENTAL",
            "identifier": "20284",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.