| Michael Datiles, DPT | |
|
2950 Donnell Dr Ste G, Forestville, MD 20747-3277 | |
| (240) 492-3410 | |
| Not Available |
| Full Name | Michael Datiles |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 2950 Donnell Dr Ste G, Forestville, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154096766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305214541 (Virginia) | Secondary |
| 225100000X | Physical Therapist | 30647 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ati Holdings, Llc | 9537112719 | 440 |
| Ati Holdings, Llc | 9537112719 | 440 |
| Provider Name | Ati Holdings, LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20140610001109 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Datiles, DPT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206 | Michael Datiles, DPT 2950 Donnell Dr Ste G, Forestville, MD 20747-3277 Ph: (240) 492-3410 |
Mr. Jonniel Marquez Estrella, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2950 Donnell Dr Ste G, Forestville, MD 20747 Phone: 866-370-8206 |
Kariya Louise Jennings, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Donnell Dr Ste G, Forestville, MD 20747 Phone: 240-715-7267 |
Conrad Nytko, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Donnell Dr Ste G, Forestville, MD 20747 Phone: 240-492-3410 |
Danielle Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7500 Marlboro Pike Ste A, Forestville, MD 20747 Phone: 301-238-4788 |
Vincent Harrison, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Donnell Dr Ste G, Forestville, MD 20747 Phone: 240-492-3410 Fax: 301-278-9852 |
Annie Liu, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Donnell Dr Ste G, Forestville, MD 20747 Phone: 240-492-3410 |
Makeshia Lucien, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7500 Marlboro Pike Ste A, Forestville, MD 20747 Phone: 301-238-4723 |