Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PHYSICAL THERAPY PROFESSIONAL CENTER INC
Active
Organization
PHYSICAL THERAPY PROFESSIONAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA GERACHENKO MPT (PHYSICAL THERAPIST PRESIDENT CORP)
(301) 990-1449
Entity
Organization
Contact information
Practice address
17B FIRSTFIELD RD, STE 105, GAITHERSBURG, MD 20878
(301) 990-1449
(301) 990-1016
Mailing address
17B FIRSTFIELD RD, STE 105, GAITHERSBURG, MD 20878
(301) 990-1449
(301) 990-1016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18893
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110A
CAREFIRST
MD
01
—
3312816
AETNA POS
MD
05
—
405806200
—
MD
01
—
480182
MAMSI
MD
01
—
7097210
AETNA PPO
MD
01
—
J1080001
CAREFIRST
DC
Enumeration date
03/30/2007
Last updated
08/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up