Active NPI
Nicholas Gaines
- Physical Therapist
- Hanover, MD
National Provider Identifier
1992547772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30463
- Practice address
- 7556 Teague Rd
Hanover, MD 21076-1213 - Phone
- (888) 313-5209
- NPI assigned
- Jun 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 30463 | MD | Primary |
Addresses
Primary practice location
7556 Teague Rd
Hanover, MD 21076-1213
Mailing address
7714 Suffolk Way
Hanover, MD 21076-1916
Phone (410) 714-0009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hospital Dr
Suite 400
Glen Burnie, MD 21061-5893
Phone (410) 768-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30463 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Physical Therapist | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients |
Locations
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
200 Hospital Dr
Ste 400
Glen Burnie, MD 21061
Phone (410) 760-0093
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
- Orthopaedic Surgery Physician
- Glen Burnie, MD
- NPI 1508204389
Physical Therapist
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1992547772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7714 SUFFOLK WAY",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761916",
"telephone_number": "410-714-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7556 TEAGUE RD",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761213",
"telephone_number": "888-313-5209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-11",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "30463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.