Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Legacy Physiatry Group Maryland, LLC

Organization Internal Medicine Physician · NPI 1669869939

Legacy Physiatry Group Maryland, LLC is an Internal Medicine Physician in Gaithersburg, Maryland. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Phone: (972) 881-4688
Fax: (972) 372-1657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1669869939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marilyn Mearon — Billing Manager · (972) 881-4688
Other names Legacy Physiatry Group; Legacy Physiatry Group
NPI enumeratedApril 23, 2015
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023
Mailing address850 Central Pkwy E Ste 275, Plano, TX 75074-5542

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