Individual provider Active NPI

Michele Guillen Battinelli, PT

  • Physical Therapist
  • Lutherville, MD
National Provider Identifier
1790945293
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16069 Issued in MD
Practice address
2328 W Joppa Rd
Suite 300
Lutherville, MD 21093-4612
Phone
(410) 938-8660
Fax
(410) 938-8664
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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 16069 MD Primary

Addresses

Primary practice location

2328 W Joppa Rd
Suite 300
Lutherville, MD 21093-4612

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16059MDMDClinical Social Worker
16069MDMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Oct 3, 2016 Accepting new patients
Pivot Physical Therapy of Central Maryland LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Oct 3, 2016 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

3570 Saint Johns Ln
Ste 13
Ellicott City, MD 21042
Phone (410) 461-6776

75 Thomas Johnson Dr
Ste M
Frederick, MD 21702
Phone (301) 698-9761

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

501 Fairmount Ave
Ste 302
Towson, MD 21286
Phone (410) 927-8768

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

Organizations & group practices 4

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1790945293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 W JOPPA RD",
            "address_2": "SUITE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934612",
            "telephone_number": "410-938-8660",
            "fax_number": "410-938-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTINELLI",
        "first_name": "MICHELE",
        "middle_name": "GUILLEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.