Provider Demographics
NPI:1811320013
Name:DR. GAYNA L. THOMAS PHYSICAL THERAPY SERVICES LLP
Entity type:Organization
Organization Name:DR. GAYNA L. THOMAS PHYSICAL THERAPY SERVICES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYNA
Authorized Official - Middle Name:LACY
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:202-321-7008
Mailing Address - Street 1:8312 LYNDHURST ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724
Mailing Address - Country:US
Mailing Address - Phone:202-321-7008
Mailing Address - Fax:
Practice Address - Street 1:8312 LYNDHURST ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-7902
Practice Address - Country:US
Practice Address - Phone:202-321-7008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22170225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD021931P88Medicare PIN