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Deactivated NPI 1144496456 Deactivated / Inactive NPI Male Practitioner

Kermit Elsworth Gresham , MS, PT

Physical Therapist • Upper Marlboro, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kermit Gresham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 06, 2008
NPI Deactivation Date June 08, 2018
Total Practice Duration ~10 Years of Practice (2008 – 2018)

Professional Overview & Biography Verified Profile Summary

Kermit Gresham, MS, PT was a registered Physical Therapist practicing in Upper Marlboro, MD. Throughout an active medical career spanning 10 years, Kermit Gresham provided care at the practice location at 9500 PENNSYLVANIA AVE STE 6 until profile deactivation on 2018-06-08.

Practice Location & Contact Primary Location

Practice Address

9500 Pennsylvania Ave Ste 6

Upper Marlboro, MD 207723658

Telephone 3015998420
Fax 3015998280
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Upper Marlboro, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
32 Specialists

Practicing in Upper Marlboro, MD (6237 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MD 15222

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1306844493

Master of Science, Doctor of Physical Therapy, Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 08, 2018

Record deactivated on June 08, 2018

NPI Profile Active May 06, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 06, 2008

Registered at 9500 PENNSYLVANIA AVE STE 6, UPPER MARLBORO, MD 207723658 (Tel: 3015998420)

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Updated Business Mailing Address May 06, 2008

Registered at 9500 PENNSYLVANIA AVE STE 6, UPPER MARLBORO, MD 207723658 (Tel: 3015998420)

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Provider Name / Credentials Updated May 06, 2008

Recorded as KERMIT GRESHAM, MS, PT

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2008

Physical Therapist (License #15222 in MD)

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Initial NPI Registration & Enumeration May 06, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144496456
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2008
Last Update: May 06, 2008
Deactivation Date: June 08, 2018

Mailing Address

9500 Pennsylvania Ave Ste 6

Upper Marlboro, MD 207723658

Phone: 3015998420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.