Active NPI
Mary Stefaniak
- Physical Therapist
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3290 N Ridge Rd Ste 290
Ellicott City, MD 21043-3657 - Phone
- (410) 750-3090
- NPI assigned
- Nov 17, 2010
- Last updated
- May 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3290 N Ridge Rd Ste 290
Ellicott City, MD 21043-3657
Mailing address
3290 N Ridge Rd Ste 290
Ellicott City, MD 21043-3657
Phone (410) 750-3090
Other names 1
- Mary Grace Testado
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
| Wheaton Medical SC | Physical Therapist | Past | Accepting new patients |
| Countryview Medical Center SC | Past | Accepting new patients | |
| Countryside Medical SC | Past | Accepting new patients | |
| Illinois Back and Joint PLLC | Past | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917
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.
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
Physical Therapist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Physical Therapist
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
-
- Specialist
- Countryside, IL
- NPI 1366726283
-
- Chiropractor
- Countryside, IL
- NPI 1285695544
-
dba Illinois Back Institute
- Sports Medicine (Family Medicine) Physician
- Orland Park, IL
- NPI 1750985214
-
dba Illinois Back Institute
- Family Medicine Physician
- Carol Stream, IL
- NPI 1174879340
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1144521568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 N RIDGE RD STE 290",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433657",
"telephone_number": "410-750-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 N RIDGE RD STE 290",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433657",
"telephone_number": "410-750-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFANIAK",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-17",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY GRACE",
"last_name": "TESTADO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.