Individual provider Active NPI

Daniel Rafael Ontiveros, DPT

  • Physical Therapist
  • Germantown, MD
National Provider Identifier
1144651589
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25689 Issued in MD
Practice address
12850 Middlebrook Rd Ste 307
Germantown, MD 20874-5244
Phone
(301) 972-4752
Fax
(301) 972-4836
NPI assigned
Dec 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 25689 MD Primary

Addresses

Primary practice location

12850 Middlebrook Rd Ste 307
Germantown, MD 20874-5244

Mailing address

12850 Middlebrook Rd Ste 307
Germantown, MD 20874-5244
Phone (301) 972-4752

Other identifiers 1

IdentifierTypeStateIssuer
Y0KX9OtherFLFLORIDA BLUE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160216000626 DC Practitioner - Physical Therapist in Private Practice 0648408724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

12850 Middlebrook Rd
Germantown, MD 20874-5255
Phone (301) 972-4752

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25689MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 1, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 4, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 4, 2025 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

12850 Middlebrook Rd
Ste 307
Germantown, MD 20874
Phone (301) 972-4752

20500 Seneca Meadows Pkwy
Ste 2100
Germantown, MD 20876
Phone (301) 972-4752

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

14995 Shady Grove Rd
Ste 350
Rockville, MD 20850
Phone (301) 294-0050

9707 Medical Center Dr
Ste 330
Rockville, MD 20850
Phone (301) 444-4090

1201 Seven Locks Rd
Ste 212
Rockville, MD 20854
Phone (301) 217-0515

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: daniel.ontiveros.1@8042.direct.athenahealth.com

Organizations & group practices 6

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": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1144651589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 MIDDLEBROOK RD STE 307",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745244",
            "telephone_number": "301-972-4752",
            "fax_number": "301-972-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 MIDDLEBROOK RD STE 307",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745244",
            "telephone_number": "301-972-4752",
            "fax_number": "301-972-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONTIVEROS",
        "first_name": "DANIEL",
        "middle_name": "RAFAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-11",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "Y0KX9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.