Gary Michael Pierpont Jr., DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30059 Issued in MD

Practice address

155 Sallitt Dr Ste B
Stevensville, MD 21666-2279

Phone

(410) 604-2162

Fax

(410) 604-2975

NPI assigned

May 31, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1881434272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 BRAVERTON ST STE 201",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372667",
            "telephone_number": "410-604-2162",
            "fax_number": "410-604-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SALLITT DR STE B",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662279",
            "telephone_number": "410-604-2162",
            "fax_number": "410-604-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERPONT",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Pan
• Christina Pentolino
• Peret & Moy Therapy Associates L.L.C
• Cara Perticone, LGPC
• Michele Pierce, LCSW-C
• Katie Pietris, MS, SYC, NCSP
• Janean Pollard, PT
• William Everett Pollard, PTA
• Leah Katlynn Miles Prezzi, LMSW
• Jo Prince

• Physical Therapist in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Physical Therapist in Maryland

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