Provider Demographics
NPI:1235496431
Name:GMS INSTITUTE
Entity Type:Organization
Organization Name:GMS INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PARVIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSSEFI
Authorized Official - Suffix:
Authorized Official - Credentials:ED D
Authorized Official - Phone:703-392-5055
Mailing Address - Street 1:7171 NEW MARKET CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2483
Mailing Address - Country:US
Mailing Address - Phone:703-392-5055
Mailing Address - Fax:703-361-1906
Practice Address - Street 1:7171 NEW MARKET CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2483
Practice Address - Country:US
Practice Address - Phone:703-392-5055
Practice Address - Fax:703-361-1906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy