Individual provider Active NPI

Donna B Regalado, P.T.

  • Physical Therapist
  • Waldorf, MD
National Provider Identifier
1164427720
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18306 Issued in MD
Practice address
3018 Festival Way
#323
Waldorf, MD 20601-2958
Phone
(240) 754-5520
Fax
(301) 705-6797
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 870153 DC
Physical Therapist 225100000X 18306 MD Primary

Addresses

Primary practice location

3018 Festival Way
#323
Waldorf, MD 20601-2958

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other identifiers 2

IdentifierTypeStateIssuer
46950046OtherCAREFIRST NCA
890199-04OtherCAREFIRST OF MARYLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101214000116 MD Practitioner - Physical Therapist in Private Practice 1052508272 Reassigns benefits to 2 organizations
I20110107000418 DC Practitioner - Physical Therapist in Private Practice 1052508272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

4740 Cherry Hill Rd
College Park, MD 20740-1330
Phone (240) 965-0999

711 W 40TH St
Suite 170
Baltimore, MD 21211-2147
Phone (667) 600-4560

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
870153DCMDPhysical Therapist
18306MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 25, 2014 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 25, 2014 Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients
Landmark Physical Therapy LLC Physical Therapist Past Accepting new patients
Ati Holding LLC Physical Therapist Past Accepting new patients
Ati Holdings, LLC Past Accepting new patients
Greater Metropolitan Orthopaedics Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

711 W 40th St
Ste 170
Baltimore, MD 21211
Phone (667) 600-4560

4740 Cherry Hill Rd
College Park, MD 20740
Phone (240) 965-0999

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

2950 Donnell Dr
Ste G
Forestville, MD 20747
Phone (240) 492-3410

7820 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (240) 831-7664

12151 Darnestown Rd
Gaithersburg, MD 20878
Phone (301) 591-5109

2900 Belcrest Center Dr
Ste 104A
Hyattsville, MD 20782
Phone (301) 276-3295

212 Rosewick Rd
La Plata, MD 20646
Phone (240) 776-6900

18302 Contour Rd
Montgomery Village, MD 20877
Phone (240) 912-2060

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

192 Halpine Rd
Ste D
Rockville, MD 20852
Phone (240) 514-2400

10060 Darnestown Rd
Rockville, MD 20850
Phone (240) 238-0403

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

3281 Plaza Way
Waldorf, MD 20603
Phone (240) 754-5520

Organizations & group practices 7

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1164427720",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 FESTIVAL WAY",
            "address_2": "#323",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012958",
            "telephone_number": "240-754-5520",
            "fax_number": "301-705-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALADO",
        "first_name": "DONNA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "870153",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NCA",
            "identifier": "46950046",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "890199-04",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.