Individual provider Active NPI

Gary William Terle, PT

  • Physical Therapist
  • Chevy Chase, MD
National Provider Identifier
1881692168
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15363 Issued in MD
Practice address
5480 Wisconsin Ave
Suite B-1
Chevy Chase, MD 20815-3530
Phone
(301) 654-7383
Fax
(301) 654-7897
NPI assigned
Jul 12, 2005
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
Physical Therapist 225100000X 15363 MD Primary

Addresses

Primary practice location

5480 Wisconsin Ave
Suite B-1
Chevy Chase, MD 20815-3530

Mailing address

5480 Wisconsin Ave
Suite B-1
Chevy Chase, MD 20815-3530
Phone (301) 654-7383

Other identifiers 3

IdentifierTypeStateIssuer
4351168OtherAETNA (HMO)
928187OtherFIRST HEALTH
425730OtherBCBS OF MARYLAND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000416 DC Practitioner - Physical Therapist in Private Practice 9830379015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Mark D. Klaiman, M.D., L.C.Group PAC ID 2365653391, 11 clinicians

Practice addresses (Care Compare)

6400 Goldsboro Rd
Suite 340
Bethesda, MD 20817-5824
Phone (301) 493-8884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark D. Klaiman, M.D., L.C. PT CurrentSince May 13, 2024 Accepting new patients
Mark D. Klaiman, M.D., L.C. CurrentSince May 13, 2024 Accepting new patients

Locations

6400 Goldsboro Rd
Ste 340
Bethesda, MD 20817
Phone (301) 244-9099

Organizations & group practices 2

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881692168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE",
            "address_2": "SUITE B-1",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153530",
            "telephone_number": "301-654-7383",
            "fax_number": "301-654-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE",
            "address_2": "SUITE B-1",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153530",
            "telephone_number": "301-654-7383",
            "fax_number": "301-654-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERLE",
        "first_name": "GARY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA (HMO)",
            "identifier": "4351168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "928187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND",
            "identifier": "425730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, 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.