Mary Aveline Therese Almedilla-Geronilla, DPT
Individual provider Active NPI Physical Therapist · Bowie, MD
NPI 1770907958 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1770907958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ati Holdings, LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NY, DC, MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Link Home Therapy Services of Ny-PT OT SLP PLLC | Current |
Accepting new patients | |
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | 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
Unit 3410
Bowie, MD 20716
Phone (240) 206-7941
3420 Crain Hwy
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032619 | Other | NY | NY LICENSE NUMBER |
| 40QA01526000 | Other | NJ | NJ LICENSE NUMBER |
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.