Individual provider Active NPI

Michael Timothy Rios, PT

  • Physical Therapist
  • Greenbelt, MD
National Provider Identifier
1508407586
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7501 Greenway Center Dr Ste 660
Greenbelt, MD 20770-6700
Phone
(443) 512-8337
NPI assigned
Oct 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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 Primary

Addresses

Primary practice location

7501 Greenway Center Dr Ste 660
Greenbelt, MD 20770-6700

Mailing address

575 12TH Rd S Apt 411
Arlington, VA 22202-7424
Phone (609) 226-3492

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200903003708 VA Practitioner - Physical Therapist in Private Practice 0244662062 Reassigns benefits to 1 organization
I20210215000026 DC Practitioner - Physical Therapist in Private Practice 0244662062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Walter Ward Blvd
Suite 200
Abingdon, MD 21009-1285

11662 Sudley Manor Dr
50B
Manassas, VA 20109-2842

6308 Winner Ave
Baltimore, MD 21215-3119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Innovative Physical Therapy and Fitness Centers LLC CurrentSince Sep 18, 2023 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist PastSince Aug 1, 2020 Accepting new patients

Locations

100 Walter Ward Blvd
Ste 200
Abingdon, MD 21009
Phone (443) 512-8484

11701 Livingston Rd
Ste 202
Ft Washington, MD 20744
Phone (301) 292-6010

7501 Greenway Center Dr
Ste 660
Greenbelt, MD 20770
Phone (301) 220-1333

9526 Philadelphia Rd
Rosedale, MD 21237
Phone 4435128337215

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

Organizations & group practices 3

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1508407586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 12TH RD S APT 411",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222027424",
            "telephone_number": "609-226-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR STE 660",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706700",
            "telephone_number": "443-512-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "MICHAEL",
        "middle_name": "TIMOTHY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.