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

Kailey Gardner

Individual provider Physical Therapist · NPI 1760067771

Kailey Gardner is a Physical Therapist in Private Practice in LA Plata, Maryland. Graduated from State University of Ny Upstate Medical University in 2020, 6 years ago. Practices with Peterson Physical Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Trained at
State University of Ny Upstate Medical University
Licensed in
MD
In the registry since
2021

Practice location Address checks out

144 Drury Dr
LA Plata, MD 20646
Phone: (301) 539-3807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 28332 (MD)

Record details

NPI number1760067771
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2021
Last updated in NPPESMarch 11, 2021
Certification dateDecember 10, 2020
Mailing addressPo Box 102, La Plata, MD 20646-0102

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Peterson Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Plata