LEGACY PHYSIATRY GROUP
NPI 1669869939
Physical Medicine & Rehabilitation in Gaithersburg, MD

NPI Status: Active since April 23, 2015

Contact Information

9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD
ZIP 20878
Phone: (972) 881-4688
Fax: (972) 372-1657

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  • Organization
  • Physical Medicine & Rehabilitation

About LEGACY PHYSIATRY GROUP

This page provides the complete NPI Profile along with additional information for Legacy Physiatry Group, a provider established in Gaithersburg, Maryland operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1669869939 assigned on April 2015. The practitioner's primary taxonomy code is 208100000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Legacy Physiatry Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Legacy Physiatry Group. The authorized official of this NPI record is Marilyn J Mearon (Billing Manager)

NPI
1669869939
Provider Legal Name
LEGACY PHYSIATRY GROUP MARYLAND, LLC
Other Organization Name
LEGACY PHYSIATRY GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9711 WASHINGTONIAN BLVD STE 550 GAITHERSBURG, MD 20878
Location Phone
(972) 881-4688
Location Fax
(972) 372-1657
Mailing Address
850 CENTRAL PKWY E STE 275 PLANO, TX 75074
Mailing Phone
(972) 881-4688
Mailing Fax
(972) 372-1657
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2015
Last Update Date
10-27-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
3363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARILYN J MEARON

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(972) 881-4688

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669869939, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 1 + 6 + 6 + 1 + 8 + 9 + 6 + 24 = 81

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 81 is 90. The difference is the calculated check digit.

90 - 81 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1669869939.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Behavior Analyst
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Psychologist
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Behavior Analyst
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Social Worker (Clinical)
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Audiologist
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Psychologist (Clinical)
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Behavior Analyst
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Audiologist
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Clinic/Center (Primary Care)
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Clinic/Center (Mental Health (Including Community Mental Health Center))
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Nurse Practitioner (Psychiatric/Mental Health)
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Behavior Technician
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878
Nurse Practitioner (Psychiatric/Mental Health)
9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG, MD 20878

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669869939, enumerated as an "organization" on April 23, 2015.

The provider is located at 9711 WASHINGTONIAN BLVD STE 550 GAITHERSBURG, MD 20878 and the phone number is (972) 881-4688.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.