Active NPI
Garrett Austin Gischel, PTA
- Physical Therapy Assistant
- Dundalk, MD
National Provider Identifier
1912587742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A5450
- Practice address
- 1576 Merritt Blvd
Dundalk, MD 21222-2132 - Phone
- (410) 650-2000
- NPI assigned
- Apr 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | P161443177 | WA | |
| Physical Therapy Assistant | 225200000X | A5450 | MD | Primary |
Addresses
Primary practice location
1576 Merritt Blvd
Dundalk, MD 21222-2132
Mailing address
8237 Poplar Mill Rd
Nottingham, MD 21236-5581
Phone (443) 895-0394
Other practice location 1
15600 NE 8th St Ste E6
Bellevue, WA 98008-4087
Phone (425) 214-7679
Other practice location 2
744 S Philadelphia Blvd
Aberdeen, MD 21001-3654
Phone (410) 399-1951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5450 | MD | MD | Physical Therapy Assistant |
| P161443177 | WA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1912587742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8237 POPLAR MILL RD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212365581",
"telephone_number": "443-895-0394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1576 MERRITT BLVD",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212222132",
"telephone_number": "410-650-2000"
}
],
"practiceLocations": [
{
"address_1": "15600 NE 8th St Ste E6",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980084087",
"country_code": "US",
"telephone_number": "425-214-7679",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "744 S Philadelphia Blvd",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "MD",
"postal_code": "210013654",
"country_code": "US",
"telephone_number": "410-399-1951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GISCHEL",
"first_name": "GARRETT",
"middle_name": "AUSTIN",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-14",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "P161443177",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A5450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.