Individual provider Active NPI

Nadia Khoury, DPT

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1497485635
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
14190A Baltimore Ave
Laurel, MD 20707-5007
Phone
(240) 542-5924
Fax
(301) 317-5629
NPI assigned
Jun 11, 2022
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 2305215100 VA
Physical Therapist 225100000X MD Primary

Addresses

Primary practice location

14190A Baltimore Ave
Laurel, MD 20707-5007

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

2000 Wilkes Ridge Dr
Richmond, VA 23233-7632
Phone (804) 877-4000

Other practice location 2

8226 Meadowbridge Rd
Mechanicsville, VA 23116-2331
Phone (804) 764-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230905003913 VA Practitioner - Physical Therapist in Private Practice 2860855095 Reassigns benefits to 1 organization
I20240620003335 DC Practitioner - Physical Therapist in Private Practice 2860855095 Reassigns benefits to 1 organization
I20240910003533 MD Practitioner - Physical Therapist in Private Practice 2860855095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
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)

14190 A-B Baltimore Ave
Ati Physical Therapy
Laurel, MD 20707-5098
Phone (240) 542-5924

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Road to Wellness, LLC Physical Therapist CurrentSince Jul 19, 2023 Accepting new patients
Ati Holdings, LLC PastSince Jun 9, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

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

117 Orville Rd
Essex, MD 21221
Phone (410) 686-2270

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

251 Lewis Ln
Ste 104
Havre de Grace, MD 21078
Phone (410) 939-8530

14190 Baltimore Ave
Laurel, MD 20707
Phone (240) 542-5924

14190 Baltimore Ave
#A
Laurel, MD 20707
Phone (240) 542-5924

14190 Baltimore Ave
Ste B
Laurel, MD 20707
Phone (240) 542-5924

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

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

3167 Lauderdale Dr
Richmond, VA 23233
Phone (804) 991-4600

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1497485635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14190A BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075007",
            "telephone_number": "240-542-5924",
            "fax_number": "301-317-5629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Wilkes Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232337632",
            "country_code": "US",
            "telephone_number": "804-877-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8226 Meadowbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162331",
            "country_code": "US",
            "telephone_number": "804-764-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "NADIA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.