Provider Demographics
NPI:1487117081
Name:NDGAIT CONSULTING PHYSICAL THERAPY & REHABILITATIVE SERVICES LLC
Entity type:Organization
Organization Name:NDGAIT CONSULTING PHYSICAL THERAPY & REHABILITATIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAITHER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:443-994-1744
Mailing Address - Street 1:891 ELKRIDGE LANDING RD STE 150
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2934
Mailing Address - Country:US
Mailing Address - Phone:443-410-3132
Mailing Address - Fax:
Practice Address - Street 1:891 ELKRIDGE LANDING RD STE 150
Practice Address - Street 2:
Practice Address - City:LINTHICUM
Practice Address - State:MD
Practice Address - Zip Code:21090-2934
Practice Address - Country:US
Practice Address - Phone:443-410-3132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty