Legacy Physiatry Group Maryland, LLC
NPI 1669869939 · Physical Medicine & Rehabilitation Physician · Gaithersburg, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Physiatry Group Maryland, LLC is a Physical Medicine & Rehabilitation Physician organization in Gaithersburg, MD (NPI 1669869939).
Provider details
- NPI number
- 1669869939
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marilyn Mearon, Billing Manager(972) 881-4688
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Other names (DBA / former)
- Doing business as
- Legacy Physiatry Group
- Doing business as
- Legacy Physiatry Group
Registry dates
- Enumerated
- 2015-04-23
- Last updated
- 2023-10-27
- Certified
- 2023-10-27
Frequently asked questions
- What is Legacy Physiatry Group Maryland, LLC's NPI number?
- Legacy Physiatry Group Maryland, LLC's National Provider Identifier (NPI) is 1669869939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Physiatry Group Maryland, LLC?
- Legacy Physiatry Group Maryland, LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Legacy Physiatry Group Maryland, LLC located?
- Legacy Physiatry Group Maryland, LLC's practice location on file with NPPES is 9711 Washingtonian Blvd Ste 550, Gaithersburg, MD 20878-5789.
- What is Legacy Physiatry Group Maryland, LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Physiatry Group Maryland, LLC is (972) 881-4688.
- Does Legacy Physiatry Group Maryland, LLC accept Medicare?
- Legacy Physiatry Group Maryland, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Physiatry Group Maryland, LLC?
- The authorized official listed on Legacy Physiatry Group Maryland, LLC's NPPES record is Marilyn Mearon, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Physiatry Group Maryland, LLC's NPI active?
- Yes — Legacy Physiatry Group Maryland, LLC's NPI (1669869939) is active in the NPPES registry as of the last update on 2023-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.