Individual provider Active NPI

Dalila Watson

  • Physical Therapist
  • Randallstown, MD
National Provider Identifier
1396381208
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
8511 Liberty Rd Ste BB
Randallstown, MD 21133-4837
Phone
(443) 426-9100
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 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 40QA01868700 NJ
Physical Therapist 225100000X NM Primary

Addresses

Primary practice location

8511 Liberty Rd Ste BB
Randallstown, MD 21133-4837

Mailing address

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

Other practice location 1

3510 Coors Blvd SW Ste D
Albuquerque, NM 87121-5328
Phone (505) 539-1410

Other practice location 2

508 10th Ave
Belmar, NJ 07719-2317
Phone (732) 910-9196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD, MA, NM5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20210909000016 DC Practitioner - Physical Therapist in Private Practice 2567868060 Reassigns benefits to 1 organization
I20210913003352 VA Practitioner - Physical Therapist in Private Practice 2567868060 Reassigns benefits to 1 organization
I20230919003102 MD Practitioner - Physical Therapist in Private Practice 2567868060 Reassigns benefits to 2 organizations
I20240907000564 MA Practitioner - Physical Therapist in Private Practice 2567868060 Reassigns benefits to 1 organization
I20250117000990 NM Practitioner - Physical Therapist in Private Practice 2567868060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
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)

1510 Rock Spring Rd
Suite C
Forest Hill, MD 21050-2851
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911-1902
Phone (410) 658-0100

8511 Liberty Rd
Suite BB
Randallstown, MD 21133-4837
Phone (443) 426-9100

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
29632MDMDPharmacist
40QA01868700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Aug 8, 2024 Accepting new patients
Physical Therapy at Dawn, LLC Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Aug 26, 2021 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Aug 8, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Aug 26, 2021 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

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

836 N Rolling Rd
Catonsville, MD 21228
Phone (443) 514-0560

6476 Dobbin Center Way
Ste 450
Columbia, MD 21045
Phone (410) 910-3242

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

8511 Liberty Rd
Ste Bb
Randallstown, MD 21133
Phone (443) 426-9100

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

6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930

3510 Coors Blvd SW
Ste D
Albuquerque, NM 87121
Phone (505) 539-1410

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

8140 Ashton Ave
Ste 104
Manassas, VA 20109
Phone (703) 257-3333

Organizations & group practices 8

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": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1396381208",
    "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": "8511 LIBERTY RD STE BB",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334837",
            "telephone_number": "443-426-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3510 Coors Blvd SW Ste D",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871215328",
            "country_code": "US",
            "telephone_number": "505-539-1410",
            "fax_number": "505-539-1411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Belmar",
            "state": "NJ",
            "postal_code": "077192317",
            "country_code": "US",
            "telephone_number": "732-910-9196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DALILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01868700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.