Mia A Countiss, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

11701 Livingston Rd Ste 202
Fort Washington, MD 20744-5136

Phone

(110) 456-2537

NPI assigned

May 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Innovative Physical Therapy and Fitness Centers LLC

  • Multi-Specialty Clinic/Center
  • Abingdon, MD
  • NPI 1710411558
  NPD
• Physical & Sports Rehab Inc

  • Physical Therapist
  • Largo, MD
  • NPI 1811271968
  NPD (past)

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1104562537",
    "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",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON RD STE 202",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445136",
            "telephone_number": "110-456-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNTISS",
        "first_name": "MIA",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nigel P Condell
• Contemporary Care and Living, LLC
• Contiva Health LLC
• Ruby Young Cooper, OD
• Arnold T Couamo
• Covenant Psychiatric and Mental Health Services, LLC
• Crave Therapeutic Massage
• Veronica D Crawford
• Dorthea Lynn Crenshaw, LICSW, LCSW
• CRH MD Management, LLC

• Physical Therapist in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.