Individual provider Active NPI

Mary Aveline Therese Almedilla-Geronilla, DPT

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1770907958
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3420 Crain Hwy Unit 3410
Bowie, MD 20716-1302
Phone
(240) 206-7941
Fax
(240) 240-6866
NPI assigned
Feb 10, 2014
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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

3420 Crain Hwy Unit 3410
Bowie, MD 20716-1302

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

1873 Dekalb Ave
Ridgewood, NY 11385-1121
Phone (917) 239-7622

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230926000689 NY Practitioner - Physical Therapist in Private Practice 2163876194 Reassigns benefits to 1 organization
I20240903002013 DC Practitioner - Physical Therapist in Private Practice 2163876194 Reassigns benefits to 1 organization
I20250131000015 MD Practitioner - Physical Therapist in Private Practice 2163876194 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)

2389 Brandermill Blvd
Suite 103
Gambrills, MD 21054-1870
Phone (410) 774-9821

3420 Crain Hwy
Bowie, MD 20716-1302
Phone (240) 206-7941

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
032619NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Sep 8, 2023 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

3420 Crain Hwy
Bowie, MD 20716
Phone (240) 206-7941

3420 Crain Hwy
Unit 3410
Bowie, MD 20716
Phone (240) 206-7941

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

2389 Brandermill Blvd
Ste 103
Gambrills, MD 21054
Phone (410) 774-9821

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

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

475 Northern Blvd
Ste 37
Great Neck, NY 11021
Phone (516) 344-0023

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580
Phone (646) 745-0854

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, 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": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1770907958",
    "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": "3420 CRAIN HWY UNIT 3410",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161302",
            "telephone_number": "240-206-7941",
            "fax_number": "240-240-6866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1873 Dekalb Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113851121",
            "country_code": "US",
            "telephone_number": "917-239-7622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALMEDILLA-GERONILLA",
        "first_name": "MARY",
        "middle_name": "AVELINE THERESE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.