Individual provider Active NPI

Ernesto Jr. R. Aguila, P.T.

  • Specialist
  • Oxon Hill, MD
National Provider Identifier
1053430140
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18045 Issued in MD
Practice address
6188 Oxon Hill Rd
Suite 603
Oxon Hill, MD 20745-3113
Phone
(301) 567-7678
Fax
(301) 567-3643
NPI assigned
Mar 28, 2007
Last updated
May 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18045 MD Primary

Addresses

Primary practice location

6188 Oxon Hill Rd
Suite 603
Oxon Hill, MD 20745-3113

Mailing address

6188 Oxon Hill Rd
Suite 603
Oxon Hill, MD 20745-3113
Phone (301) 567-7678

Other identifiers 2

IdentifierTypeStateIssuer
64290701OtherMDCFBCBS
S-120 0002OtherMDBCBS-PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000437 DC Practitioner - Physical Therapist in Private Practice 5496887846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natl Medical Rehabilitation LLCGroup PAC ID 9537523626, 4 clinicians

Practice addresses (Care Compare)

6188 Oxon Hill Rd
Suite 303
Oxon Hill, MD 20745-3157
Phone (301) 534-1906

9400 Livingston Rd
Suite 450
Fort Washington, MD 20744-4905
Phone (301) 248-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18045MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metrospine PC Specialist CurrentSince Jun 1, 2020 Accepting new patients
Natl Medical Rehabilitation LLC CurrentSince Jul 24, 2023 Accepting new patients
Metrospine PC CurrentSince Jun 1, 2020 Accepting new patients

Locations

9001 Woodyard Rd
Ste A
Clinton, MD 20735
Phone (301) 856-5860

9400 Livingston Rd
Ste 450
Ft Washington, MD 20744
Phone (301) 248-8900

6188 Oxon Hill Rd
Ste 100
Oxon Hill, MD 20745
Phone (301) 567-2100

6188 Oxon Hill Rd
Ste 300
Oxon Hill, MD 20745
Phone (301) 266-0738

6188 Oxon Hill Rd
Ste 303
Oxon Hill, MD 20745
Phone (301) 534-1906

6188 Oxon Hill Rd
Ste 603
Oxon Hill, MD 20745
Phone (301) 567-7678

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1053430140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD",
            "address_2": "SUITE 603",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453113",
            "telephone_number": "301-567-7678",
            "fax_number": "301-567-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD",
            "address_2": "SUITE 603",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453113",
            "telephone_number": "301-567-7678",
            "fax_number": "301-567-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILA",
        "first_name": "ERNESTO JR.",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "18045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CFBCBS",
            "identifier": "64290701",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-PPO",
            "identifier": "S-120 0002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.