# GOOD SHEPHERD PHYSICAL THERAPY AND WELLNESS CENTER,LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GOOD SHEPHERD PHYSICAL THERAPY AND WELLNESS CENTER, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619443850
- **Legal business name:** GOOD SHEPHERD PHYSICAL THERAPY AND WELLNESS CENTER, LLC
- **Authorized official:** MAY G. RIVERA (PRESIDENT)
- **Authorized official phone:** (240) 483-3146

## Contact information

- **Practice address:** 16220 FREDERICK RD., STE. 325, GAITHERSBURG, MD 20877-4000
- **Practice address phone:** (301) 771-1344
- **Practice address fax:** (240) 387-7387
- **Mailing address:** 11119 ROCKVILLE PIKE STE 316, ROCKVILLE, MD 20852-3143
- **Mailing address phone:** (301) 771-1344
- **Mailing address fax:** (240) 387-7387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 10/15/2018