Ilynne D Panopio

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25401 Issued in MD

Practice address

4406 Slater Ave
Nottingham, MD 21236-2753

Phone

(732) 809-0008

NPI assigned

Mar 9, 2015

Last updated

Oct 18, 2022By the provider in NPPES

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

Other names 1

• Ilynne A Decastro Former name

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Maryland Medical Regional Professional Services, LLCGroup PAC ID 5799930046, 30 clinicians

Kaiser Foundation Health Plan of the Mid Atlantic States, IncGroup PAC ID 3779495858, 1,921 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.43 of 100Reported as group

Quality

85

Promoting interoperability

99

Improvement activities

40

Cost

73.92

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  • Health Maintenance Organization
  • Halethorpe, MD
  • NPI 1043378656
  Medicare reassignment Care Compare group NPD
• University of Maryland Medical Regional Professional Services, LLC

  dba Towson Sports Medicine

  • Physical Therapist
  • Towson, MD
  • NPI 1225383250
  Medicare reassignment Care Compare group NPD
• Maryland Sportscare & Rehab LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995

  DC

  Medicare reassignment NPD
• Salus Capital Inc

  dba Eagle Physical Therapy and Rehabilitation

  • Physical Therapist
  • Baltimore, MD
  • NPI 1568859478
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD
• Maryland Sportscare & Rehab, LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1720445174
  NPD
• University of Maryland Medical Regional Professional Services, LLC

  dba Towson Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Rosedale, MD
  • NPI 1447003025

  Physical Therapist

  NPD

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1144613688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 SLATER AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362753",
            "telephone_number": "732-809-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 SLATER AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362753",
            "telephone_number": "732-809-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7629 Belair Rd",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212364003",
            "country_code": "US",
            "telephone_number": "410-870-2104",
            "fax_number": "410-870-6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANOPIO",
        "first_name": "ILYNNE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILYNNE",
            "last_name": "DECASTRO",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Ellen Padusi, O.D.
• Sharon Page
• Gabriella Pagnotta, LCPC
• Leonilo Fajardo Pallasigui
• Joseph Ryan Palmer, DPT
• Paradise 2 PRP LLC
• Paradise Omhc
• Bailey Pararas, LMSW
• Kamryn Parker
• Lindsey Nadeau Parker, DPT

• Physical Therapist in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.