1295898146 NPI number — RACHEL PIGOTT OT

Table of content: RICHARD THOMAS GARGIULO D.O. (NPI 1154697027)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295898146 NPI number — RACHEL PIGOTT OT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PIGOTT
Provider First Name:
RACHEL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
OT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295898146
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 WALTERWARD BLVD
Provider Second Line Business Mailing Address:
UCH CENTER FOR SPORTS MEDICINE AND REHABILITATION
Provider Business Mailing Address City Name:
ABINGDON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21009-1210
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-409-0051
Provider Business Mailing Address Fax Number:
443-409-0058

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 WALTERWARD BLVD
Provider Second Line Business Practice Location Address:
UCH CENTER FOR SPORTS MEDICINE AND REHABILITATION
Provider Business Practice Location Address City Name:
ABINGDON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21009-1210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-409-0051
Provider Business Practice Location Address Fax Number:
443-409-0058
Provider Enumeration Date:
12/19/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  04344 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)