Provider Demographics
NPI:1316942626
Name:GILBERT, WILLIAM HARRY JR (MPT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HARRY
Last Name:GILBERT
Suffix:JR
Gender:
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 NORTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2847
Mailing Address - Country:US
Mailing Address - Phone:301-745-8915
Mailing Address - Fax:301-745-8916
Practice Address - Street 1:70 SOUDER RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:MD
Practice Address - Zip Code:21716-1245
Practice Address - Country:US
Practice Address - Phone:301-834-6898
Practice Address - Fax:301-834-6595
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18229225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4128931P0000Medicaid
MDP00222631OtherMEDICARE RAILROAD
MD960MMedicare PIN