Individual provider Active NPI

Duncan William Gerhard, DPT

  • Specialist
  • Fairfax, VA
National Provider Identifier
1942380332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2305204867 Issued in VA
Practice address
9860 Fairfax Blvd
Suite 1
Fairfax, VA 22030-1737
Phone
(703) 383-1616
Fax
(703) 383-1166
NPI assigned
Oct 17, 2006
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
Specialist 174400000X 2305204867 VA Primary

Addresses

Primary practice location

9860 Fairfax Blvd
Suite 1
Fairfax, VA 22030-1737

Mailing address

9860 Fairfax Blvd
Suite 1
Fairfax, VA 22030-1737
Phone (703) 383-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070222000545 DC Practitioner - Physical Therapist in Private Practice 7214039262 Reassigns benefits to 1 organization
I20170807000017 VA Practitioner - Physical Therapist in Private Practice 7214039262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Rehabilitation PLLCGroup PAC ID 1355243734, 8 clinicians

Practice addresses (Care Compare)

10521 Rosehaven St
Suite Ll150
Fairfax, VA 22030-2889
Phone (703) 383-1616

24585 Stone Carver Dr
Suite 275
Aldie, VA 20105-2798
Phone (703) 383-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305204867VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Rehabilitation, PLLC Specialist CurrentSince Oct 20, 2006 Accepting new patients

Locations

24585 Stone Carver Dr
Ste 275
Aldie, VA 20105
Phone (703) 383-1616

9860 Fairfax Blvd
Ste 1
Fairfax, VA 22030
Phone (703) 383-1616

10521 Rosehaven St
Ste LL150
Fairfax, VA 22030
Phone (703) 383-1616

Organizations & group practices 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942380332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 FAIRFAX BLVD",
            "address_2": "SUITE 1",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301737",
            "telephone_number": "703-383-1616",
            "fax_number": "703-383-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 FAIRFAX BLVD",
            "address_2": "SUITE 1",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301737",
            "telephone_number": "703-383-1616",
            "fax_number": "703-383-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERHARD",
        "first_name": "DUNCAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "2305204867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

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.