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

Active since April 23, 2015
9711 WASHINGTONIAN BLVD STE 550, GAITHERSBURG, MD 20878(972) 881-4688(972) 372-1657 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Legacy Physiatry Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY PHYSIATRY GROUP (NPI 1669869939) is a healthcare organization registered as a physical medicine & rehabilitation in Gaithersburg, Maryland and active in the NPI registry since April 2015. The organization lists Marilyn J Mearon, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1669869939
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameLEGACY PHYSIATRY GROUP MARYLAND, LLC
Location Address9711 WASHINGTONIAN BLVD STE 550Gaithersburg, MD 20878-5789
Mailing Address850 Central Pkwy E Ste 275Plano, TX 75074-5542 · (972) 881-4688 · Fax (972) 372-1657
Fax(972) 372-1657
Organization SubpartNo
Authorized OfficialMarilyn J MearonBilling Manager · (972) 881-4688
Enumeration DateApril 23, 2015
Last NPPES UpdateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
✔ NPI 1669869939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
9711 WASHINGTONIAN BLVD STE 550, Gaithersburg, MD 20878

Other Names 1

Doing Business AsLegacy Physiatry Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Physiatry Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Legacy Physiatry Group, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Physical Medicine and Rehabilitation
NPI 1588669360
10320 LITTLE PATUXENT PKWY STE 200
Columbia, MD 21044
(972) 881-4688
✔ PECOS✔ Accepts Medicare19 mi
Physical Medicine and Rehabilitation
NPI 1184917551
9841 GREENBELT RD STE 208
Lanham, MD 20706
(240) 786-1001
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1982117388
4700 DARK STAR WAY
Owings Mills, MD 21117
(215) 880-7421
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1740485085
4809 HAWKSBURY RD
Pikesville, MD 21208
(410) 963-5048
✔ PECOS29 mi
Cardiac Electrophysiology
NPI 1861497802
5051 GREENSPRING AVENUE SUITE 304
Baltimore, MD 21209
(410) 601-8702
✔ PECOS33 mi
Nurse Practitioner
NPI 1851641955
1800 N CHARLES ST STE 804
Baltimore, MD 21201
(443) 873-8479
✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Physiatry Group Maryland, LLC's NPI number?

The NPI number for Legacy Physiatry Group Maryland, LLC is 1669869939. It was assigned to this organization in the NPPES registry on April 23, 2015. The provider is doing business as Legacy Physiatry Group.

Where is Legacy Physiatry Group Maryland, LLC located?

Legacy Physiatry Group Maryland, LLC is located at 9711 Washingtonian Blvd Ste 550, Gaithersburg, MD 20878. The listed phone number is (972) 881-4688.

What is Legacy Physiatry Group Maryland, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Legacy Physiatry Group Maryland, LLC enrolled in Medicare?

Yes. Legacy Physiatry Group Maryland, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Physiatry Group Maryland, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Legacy Physiatry Group Maryland, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Physical Medicine and Rehabilitation (2) and Cardiac Electrophysiology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Legacy Physiatry Group Maryland, LLC was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.