ELIZABETH ANNE GURDIAN (PT) – Physical Therapist, NPI 1174128508

ELIZABETH ANNE GURDIAN (PT) is a healthcare provider. based in Rockville, Maryland. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 046362 (NY). The NPI Number for ELIZABETH ANNE GURDIAN (PT) is 1174128508

Main info

Female
6 Years Of Experience
Name
ELIZABETH ANNE GURDIAN (PT)
NPI
1174128508
Phone
(240) 274-0199
Address
515 OAK KNOLL TER
Enumeration Date
3 December 2020
Last Update Date
3 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2026698098
Graduation Year
2020 (6 years ago)
PAC ID
6406256569
Group Practice PAC ID
3971634890
Professional Enrollment ID
I20241209003639
Address ID
DC200063766WA1712XNWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,984 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD

Provider Addresses for ELIZABETH ANNE GURDIAN (PT)

  • 515 OAK KNOLL TER

    ROCKVILLE, MD 208507806

    Phone: (240) 274-0199

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241209003639IPhysical Therapist In Private PracticeDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20850)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971634890View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What unique ID ties claims to ELIZABETH ANNE GURDIAN (PT)?
NPI 1174128508 is assigned to ELIZABETH ANNE GURDIAN (PT) under the national enumeration system.
Is ELIZABETH ANNE GURDIAN (PT) active in the national directory?
ELIZABETH ANNE GURDIAN (PT)'s public NPI profile is in an active state.
Does ELIZABETH ANNE GURDIAN (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for ELIZABETH ANNE GURDIAN (PT). Clinical services aligned with this taxonomy classification.
What location metadata exists for ELIZABETH ANNE GURDIAN (PT)?
The page summarizes Rockville, Maryland for ELIZABETH ANNE GURDIAN (PT); expand the address list for detail.
Is ELIZABETH ANNE GURDIAN (PT) a real provider?
This page reflects official NPPES data for NPI 1174128508. Always confirm identity and privileges with the practice and licensing boards.

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