Healthcare Provider Details

I. General information

NPI: 1760169205
Provider Name (Legal Business Name): ALAYNA KELSI GAMMONS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 ALTAMONT PL STE 102
WHITE PLAINS MD
20695-3039
US

IV. Provider business mailing address

2325 AUDREY MANOR CT
WALDORF MD
20603-4919
US

V. Phone/Fax

Practice location:
  • Phone: 301-932-5299
  • Fax:
Mailing address:
  • Phone: 301-861-8573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number29725
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: