MEDICARE: CHRISTOPHER GILBERT DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	29849	MD

General Provider Information

NPI Number	:	1235816778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER GILBERT DPT

Provider Business Mailing Address
First Line	:	4337 EBENEZER RD
Second Line	:
City	:	NOTTINGHAM
State	:	MD
Zip	:	21236-2143
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3411 SWEET AIR RD
Second Line	:
City	:	JACKSONVILLE
State	:	MD
Zip	:	21131-1825
Country	:	US
Telephone Number	:	410-529-3303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	04/21/2024

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