Healthcare Provider Details

I. General information

NPI: 1871304832
Provider Name (Legal Business Name): PABLO ANTONIO GARAY PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13975 CONNECTICUT AVE STE 300
SILVER SPRING MD
20906-2921
US

IV. Provider business mailing address

3308 BERET LN
SILVER SPRING MD
20906-3024
US

V. Phone/Fax

Practice location:
  • Phone: 301-598-7420
  • Fax: 301-598-7432
Mailing address:
  • Phone: 301-461-3762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30267
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: