Individual provider Active NPI

Jonniel Marquez Estrella, PT

  • Physical Therapist
  • Forestville, MD
National Provider Identifier
1083171060
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27356 Issued in MD
Practice address
2950 Donnell Dr Ste G
Forestville, MD 20747-3277
Phone
(866) 370-8206
NPI assigned
Feb 26, 2019
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27356 MD Primary

Addresses

Primary practice location

2950 Donnell Dr Ste G
Forestville, MD 20747-3277

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190405001241 MD Practitioner - Physical Therapist in Private Practice 4880935568 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27356MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Physical Therapy Physical Therapist CurrentSince Mar 4, 2019 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Carolina Physical Therapy and Sports Medicine Limited Partnership Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Carolina Physical Therapy and Sports Medicine, Inc. CurrentSince Jun 24, 2024 Accepting new patients
Privia Medical Group, LLC PastSince Jan 24, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

117 Orville Rd
Essex, MD 21221
Phone (410) 686-2270

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

2950 Donnell Dr
Ste G
Forestville, MD 20747
Phone (240) 492-3410

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

7629 Belair Rd
Nottingham, MD 21236
Phone (410) 870-2104

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

4470 Regency Pl
Ste 100
White Plains, MD 20695
Phone (301) 645-6680

141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484

75 W Wesmark Blvd
Sumter, SC 29150
Phone (800) 456-5857

Organizations & group practices 8

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1083171060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 DONNELL DR STE G",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207473277",
            "telephone_number": "866-370-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLA",
        "first_name": "JONNIEL",
        "middle_name": "MARQUEZ",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-26",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.