Active NPI
Mary Aveline Therese Almedilla-Geronilla, DPT
- Physical Therapist
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
Enrollment records 3
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
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 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032619 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Link Home Therapy Services of Ny-PT OT SLP PLLC | Current | 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.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC, Physical Therapist
-
- Physical Therapy Clinic/Center
- Valley Stream, NY
- NPI 1942782966
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
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.