Active NPI
Daniel Rafael Ontiveros, DPT
- Physical Therapist
- Germantown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25689
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0KX9 | Other | FL | FLORIDA BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25689 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Physical Therapist | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Physical Therapist | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- 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.
-
- Orthopaedic Surgery Physician
- Manassas, VA
- NPI 1265871958
DC, Physical Therapist
-
- Orthopaedic Surgery Physician
- Rockville, MD
- NPI 1699114389
Physical Therapist
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
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.