Individual provider Active NPI

David Dellota, DPT, PT

  • Physical Therapist
  • Ellicott City, MD
National Provider Identifier
1306688460
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30617 Issued in MD
Practice address
9171 Baltimore National Pike Ste 120
Ellicott City, MD 21042-3946
Phone
(410) 480-3705
Fax
(410) 480-3707
NPI assigned
Jun 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 30617 MD Primary

Addresses

Primary practice location

9171 Baltimore National Pike Ste 120
Ellicott City, MD 21042-3946

Mailing address

1220A E Joppa Rd Ste 234
Towson, MD 21286-5817
Phone (410) 480-3705

Other practice location 1

10696 Rain Dream Hl
Columbia, MD 21044-2419
Phone (281) 907-3926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203000424 MD Practitioner - Physical Therapist in Private Practice 3375036999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9171 Balt Nat Pike
Suite 120
Ellicott City, MD 21042-3946
Phone (410) 480-3705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30617MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Fitness Physical Therapy LLC Physical Therapist CurrentSince Nov 3, 2025 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist CurrentSince Nov 3, 2025 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Current Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

9171 Baltimore National Pike
Ste 120
Ellicott City, MD 21042
Phone (410) 480-3705

1220A E Joppa Rd
Ste 234
Towson, MD 21286
Phone (410) 337-2470

Organizations & group practices 4

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1306688460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220A E JOPPA RD STE 234",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865817",
            "telephone_number": "410-480-3705",
            "fax_number": "410-480-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 BALTIMORE NATIONAL PIKE STE 120",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423946",
            "telephone_number": "410-480-3705",
            "fax_number": "410-480-3707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10696 Rain Dream Hl",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210442419",
            "country_code": "US",
            "telephone_number": "281-907-3926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELLOTA",
        "first_name": "DAVID",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 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.