NPIMap

Organization Active NPI

MGPT, LLC

  • Physical Therapy Clinic/Center
  • Rockville, MD
National Provider Identifier
1851917892
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MGPT, LLC
Practice address
5901 Montrose Rd Apt N402
Rockville, MD 20852-4729
Phone
(570) 236-5306
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Dr. Mirsada Gudic, PT, DPTNPI 1366830457
Title
Owner
Phone
(570) 236-5306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5901 Montrose Rd Apt N402
Rockville, MD 20852-4729

Mailing address

5901 Montrose Rd Apt N402
Rockville, MD 20852-4729
Phone (570) 236-5306

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1851917892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 MONTROSE RD APT N402",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524729",
            "telephone_number": "570-236-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 MONTROSE RD APT N402",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524729",
            "telephone_number": "570-236-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "GUDIC",
        "authorized_official_first_name": "MIRSADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-236-5306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 24, 2020; 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.