Healthcare Provider Details

I. General information

NPI: 1275241713
Provider Name (Legal Business Name): JOSEPH J GEBHART DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 YORK RD STE 401
LUTHERVILLE MD
21093-6063
US

IV. Provider business mailing address

1447 YORK RD STE 401
LUTHERVILLE MD
21093-6063
US

V. Phone/Fax

Practice location:
  • Phone: 105-293-3034
  • Fax: 410-529-7980
Mailing address:
  • Phone: 410-529-3303
  • Fax: 410-529-7980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number29232
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: