GATEAU PHYSICAL THERAPY (NPI# 1679551568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679551568 |
| Entity Type | Organization |
| Organization Name | GATEAU PHYSICAL THERAPY |
| Practice Address |
11855 Hg Trueman Rd Lusby MD 20657-2855 |
| Practice Telephone | 4103263432 |
| Practice Fax Number | 4103262493 |
| Mailing Telephone | 4103263432 |
| Mailing Fax Number | 4103262493 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. BONNIE B GATEAU (CEO OWNER) |
| Authorized Official Telephone | 4103263432 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA HMO | 2157770 | 01 | |
| CAREFIRST DC | S8880001 | 01 | |
| PPO | 5257158 | 01 | |
| OPTIMUM CHOICE MAMSI MDIP | 411592 | 01 | |
| BCBS OF MD | KAA9 | 01 |
| Street Address |
11855 HG TRUEMAN RD |
| City | LUSBY |
| State | MD |
| Zip Code | 20657-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083698013 | Bonnie B Gateau | Physical Therapist | 11855 Hg Trueman Rd, Lusby, MD 20657-2855 | 2005-12-02 |
| 1144473711 | Danielle M Leclerc | Physical Therapist | 11855 Hg Trueman Rd, Lusby, MD 20657-2855 | 2008-10-28 |
| 1801091921 | Lindsay Marie Lavato | Physical Therapist | 11855 Hg Trueman Rd, Lusby, MD 20657-2855 | 2007-06-19 |
| 1316029788 | Heather Allen | Physical Therapist | 11855 Hg Trueman Rd, Lusby, MD 20657-2855 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270981 | Weis Markets, Inc. | Pharmacy | 210 H G Trueman Rd., Lusby, MD 20657 | 2018-06-29 |
| 1629592845 | Shannon Crush | Doula | 668 Santa Fe Trl, Lusby, MD 20657 | 2017-07-30 |
| 1386009405 | Lusby Dental LLC | Dentist | 10025 Hg Trueman Road, Lusby, MD 20657 | 2015-12-16 |
| 1497157515 | Amazing Hands Home Care | Home Health | 7810 Kirby Ct, Lusby, MD 20657 | 2014-09-19 |
| 1528381027 | Kristina Sarah Smith | Physical Therapist | 11855 H.g. Trueman Rd, Lusby, MD 20657 | 2010-03-11 |
| 1700067618 | Friendly Pharmacy LLC | Pharmacy | 226 Town Center Dr, Lusby, MD 20657 | 2007-11-19 |
| 1831214089 | Mary F Maxwell | Physical Therapy Assistant | 11855 H G Trueman Rd, Gateau Physical Therapy, Lusby, MD 20657 | 2007-03-20 |
| 1356893069 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 13360 Hg Truman Road, Solomons, MD 20657 | 2016-10-28 |
| 1356466502 | Anita Mccullum | Physical Therapy Assistant | 11855 H G Trueman Rd, Gateau Physical Therapy, Lusby, MD 20657 | 2007-03-20 |
| 1922579010 | Lelia M. Reed | Registered Nurse | 8195 Heron Ln, Lusby, MD 20657-2029 | 2018-12-16 |
| Find all providers in zip 20657 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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|---|---|---|---|---|
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| 1730794967 | Lz Pt and Wellness, LLC | Clinic/Center | 8375 Jumpers Hole Rd Ste 202, Millersville, MD 21108-1271 | 2020-09-14 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1790302925 | Hanson Physical Therapy & Sports Performance | Clinic/Center | 750 State Route 3 S Ste 5, Gambrills, MD 21054-1306 | 2020-07-03 |
| 1891312575 | Flamm Physical Therapy and Wellness, LLC | Clinic/Center | 2801 Guilford Ave, Baltimore, MD 21218-5485 | 2020-06-29 |
| 1073139036 | Woo Physical Therapy and Wellness | Clinic/Center | 8247 Hickory Hollow Dr, Glen Burnie, MD 21060-8721 | 2020-06-24 |
| 1851917892 | Mgpt, LLC | Clinic/Center | 5901 Montrose Rd Apt N402, Rockville, MD 20852-4729 | 2020-06-24 |
| 1811513278 | Manigault Enterprise, L.L.C. | Clinic/Center | 2103 Woodtop Way, Bel Air, MD 21015-6370 | 2020-06-22 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1427673482 | True Sports Physical Therapy, LLC | Clinic/Center | 1305 Governors Ct Ste D, Abingdon, MD 21009-2345 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.