OrganizationActive
Resurgent Performance PT
NPI 1174079545 · Physical Therapy Clinic/Center · Gaithersburg, MD
Provider details
- NPI number
- 1174079545
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Van Ornum, Owner/Founder(240) 261-6136
- License
- 25246 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16810 Oakmont Ave
Gaithersburg, MD 20877-4110
Phone: (240) 261-6136
Street-level locationGet directions
Mailing address
16810 Oakmont Ave
Gaithersburg, MD 20877-4110
Other names (DBA / former)
- Doing business as
- Resurgent Performance Physical Therapy
Registry dates
- Enumerated
- 2016-08-26
- Last updated
- 2016-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.