Individual provider Active NPI

Nastassia Chittumuri, PT, DPT

  • Physical Therapist
  • Owings Mills, MD
National Provider Identifier
1104526078
Registry record updated Nov 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9934 Reisterstown Rd # 18E
Owings Mills, MD 21117-3945
Phone
(240) 545-0507
Fax
(410) 842-2770
NPI assigned
Mar 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MD Primary
Physical Therapist 225100000X DE
Physical Therapist 225100000X 050160 NY
Physical Therapist 225100000X 2305215604 VA

Addresses

Primary practice location

9934 Reisterstown Rd # 18E
Owings Mills, MD 21117-3945

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

16811 N Litchfield Rd Ste 101
Surprise, AZ 85374-7062
Phone (602) 313-4045

Other practice location 2

209 Madison St Ste Ll2
Alexandria, VA 22314-2065
Phone (703) 299-6688

Other practice location 3

3018 Festival Way # 323
Waldorf, MD 20601-2958
Phone (240) 754-5520

Other practice location 4

1015 E Songsmith Dr
Bear, DE 19701-1194
Phone (302) 836-5670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD, DE, TX, AZ6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20230503001940 DC Practitioner - Physical Therapist in Private Practice 7719342351 Reassigns benefits to 1 organization
I20230524000867 VA Practitioner - Physical Therapist in Private Practice 7719342351 Reassigns benefits to 1 organization
I20230710001220 MD Practitioner - Physical Therapist in Private Practice 7719342351 Reassigns benefits to 2 organizations
I20240425001815 DE Practitioner - Physical Therapist in Private Practice 7719342351 Reassigns benefits to 1 organization
I20251023001048 TX Practitioner - Physical Therapist in Private Practice 7719342351 Reassigns benefits to 1 organization
I20251215003545 AZ Practitioner - Physical Therapist in Private Practice 7719342351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

1015 E Songsmith Dr
Ati Physical Therapy
Bear, DE 19701-1194
Phone (302) 836-5670

1510 Rock Spring Rd
Suite C
Forest Hill, MD 21050-2851
Phone (410) 420-3619

16811 N Litchfield Rd
Suite 101
Surprise, AZ 85374-7062
Phone (623) 322-0654

6420 N Macarthur Blvd
Suite 130
Irving, TX 75039-2871
Phone (972) 979-6577

8511 Liberty Rd
Suite BB
Randallstown, MD 21133-4837
Phone (443) 426-9100

9469 Baltimore Natl Pke
Unit E
Ellicott City, MD 21042-2817
Phone (410) 598-5513

9934 Reisterstown Rd
18E
Owings Mills, MD 21117-3945
Phone (240) 545-0507

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
29491MDMDPharmacist
2305215604VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Sep 22, 2025 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Ati Holding LLC Physical Therapist PastSince Jul 1, 2023 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Apr 1, 2023 Accepting new patients
Ideal Rehabilitation LLC PastSince Jan 5, 2026 Accepting new patients
Ati Holdings, LLC Physical Therapist PastSince Jul 1, 2023 Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

16811 N Litchfield Rd
Ste 101
Surprise, AZ 85374
Phone (602) 313-4045

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

1015 E Songsmith Dr
Bear, DE 19701
Phone (302) 836-5670

100 Becks Woods Dr
Bear, DE 19701
Phone (302) 392-3400

790 Remington Blvd
Bolingbrook, IL 60440

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

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

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

9934 Reisterstown Rd
Ste 18E
Owings Mills, MD 21117
Phone (240) 545-0507

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

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

6420 N MacArthur Blvd
Ste 130
Irving, TX 75039
Phone (972) 402-8300

209 Madison St
Ste LL2
Alexandria, VA 22314
Phone (703) 299-6688

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

8140 Ashton Ave
Ste 104
Manassas, VA 20109
Phone (703) 257-3333

119 The Plains Rd
Ste 100
Middleburg, VA 20117
Phone (540) 687-8181

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764201600000",
    "number": "1104526078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9934 REISTERSTOWN RD # 18E",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173945",
            "telephone_number": "240-545-0507",
            "fax_number": "410-842-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16811 N Litchfield Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853747062",
            "country_code": "US",
            "telephone_number": "602-313-4045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Madison St Ste Ll2",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223142065",
            "country_code": "US",
            "telephone_number": "703-299-6688",
            "fax_number": "703-299-3588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3018 Festival Way # 323",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206012958",
            "country_code": "US",
            "telephone_number": "240-754-5520",
            "fax_number": "301-705-6797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 E Songsmith Dr",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197011194",
            "country_code": "US",
            "telephone_number": "302-836-5670",
            "fax_number": "302-836-5226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHITTUMURI",
        "first_name": "NASTASSIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050160",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; 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.