Individual provider Active NPI

Gina Abenojar, DPT

  • Physical Therapist
  • Beltsville, MD
National Provider Identifier
1902159932
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26654 Issued in MD
Practice address
10750 Rhode Island Ave
Beltsville, MD 20705-2513
Phone
(301) 937-1632
NPI assigned
Oct 15, 2012
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305207616 VA
Physical Therapist 225100000X 26654 MD Primary

Addresses

Primary practice location

10750 Rhode Island Ave
Beltsville, MD 20705-2513

Mailing address

303 Water Fowl Dr
Yorktown, VA 23692-2975
Phone (305) 490-9049

Other practice location 1

2405 Fort Eustis Blvd
Room 202
Yorktown, VA 23692-4163
Phone (757) 898-3746

Other practice location 2

6201 Greenbelt Rd Ste U15-16
Berwyn Heights, MD 20740-2354
Phone (301) 220-0571

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
2305207616VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Rehab of Florida PLLC Physical Therapist CurrentSince Sep 28, 2019 Accepting new patients
Active Physical Therapy Services, LLC Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 20, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

6842 Race Track Rd
#B
Bowie, MD 20715
Phone (240) 544-0200

9135 Piscataway Rd
Ste 305
Clinton, MD 20735
Phone (301) 856-4803

6476 Dobbin Center Way
Ste 450
Columbia, MD 21045
Phone (410) 910-3242

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

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

1409 S Salisbury Blvd
Unit Cd
Salisbury, MD 21801
Phone (667) 330-1061

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304

Organizations & group practices 5

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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1902159932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WATER FOWL DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922975",
            "telephone_number": "305-490-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 RHODE ISLAND AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052513",
            "telephone_number": "301-937-1632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2405 Fort Eustis Blvd",
            "address_2": "Room 202",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "VA",
            "postal_code": "236924163",
            "country_code": "US",
            "telephone_number": "757-898-3746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Greenbelt Rd Ste U15-16",
            "address_purpose": "LOCATION",
            "city": "Berwyn Heights",
            "state": "MD",
            "postal_code": "207402354",
            "country_code": "US",
            "telephone_number": "301-220-0571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABENOJAR",
        "first_name": "GINA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207616",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.