NEIL TIMOTHY PONCE EDILLON (NPI# 1326698341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326698341 |
| Entity Type | Individual |
| Full Name | NEIL TIMOTHY PONCE EDILLON |
| Credential | PT |
| Practice Address |
4000 Mitchellville Rd Ste A414 Bowie MD 20716-3142 |
| Mailing Address |
131 Main St Ste 202 Prince Frederick MD 20678-3341 |
| Practice Telephone | 3018600985 |
| Practice Fax Number | 3018600978 |
| Mailing Telephone | 4105356975 |
| Mailing Fax Number | 4105356915 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 27547 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4000 MITCHELLVILLE RD STE A414 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891777678 | Nedra Helene Joyner | Otolaryngology | 4000 Mitchellville Rd Ste A414, Bowie, MD 20716-3142 | 2005-11-16 |
| 1700490539 | Devon Suiter | Audiologist | 4000 Mitchellville Rd Ste A414, Bowie, MD 20716-3142 | 2020-08-31 |
| 1356993299 | Christina Nicole Downs | Audiologist | 4000 Mitchellville Rd Ste A414, Bowie, MD 20716-3142 | 2019-07-11 |
| 1003373283 | Roraine Bunag | Audiologist | 4000 Mitchellville Rd Ste A414, Bowie, MD 20716-3142 | 2019-02-25 |
| 1184122376 | Matthew Paul Ross | Nurse Practitioner | 4000 Mitchellville Rd Ste A414, Bowie, MD 20716-3142 | 2018-01-23 |
| 1679912067 | Manan Udayan Shah | Otolaryngology | 4000 Mitchellville Rd Ste A414, Bowie, MD 20716-3142 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922616390 | Sony Therapy LLC | Physical Therapist | 2203 Saint Josephs Dr, Bowie, MD 20721-1874 | 2020-07-21 |
| 1558985598 | Katie Kirkman | Physical Therapist | 4000 Mitchellville Rd Ste B222, Bowie, MD 20716-3148 | 2020-06-05 |
| 1710529243 | Michelle Morgan | Physical Therapist | 2008 Upshire Ct, Bowie, MD 20721-2819 | 2019-10-16 |
| 1316415631 | Bruce Alter IIi | Physical Therapist | 16900 Science Dr Ste 104-106, Bowie, MD 20715-4401 | 2018-11-05 |
| 1891275137 | Jamal D Jackson | Physical Therapist | 4175 N Hanson Ct Ste 301, Bowie, MD 20716-3186 | 2018-08-16 |
| 1639551443 | Comcare Rehabilitation, LLC | Physical Therapist | 12605 Kingsview St, Bowie, MD 20721-2029 | 2015-06-29 |
| 1821490350 | Leslie Johns | Physical Therapist | 15500 Annapolis Rd Ste 102, Bowie, MD 20715-3039 | 2014-09-16 |
| 1790113611 | Shaun Owens | Physical Therapist | 16900 Science Dr Ste 104, Bowie, MD 20715-4424 | 2013-10-31 |
| 1265778591 | Angela Marie Meador | Physical Therapist | 6311 Gradys Walk, Bowie, MD 20715-4022 | 2012-12-13 |
| 1780937037 | Christine Pierpont | Physical Therapist | 6842 Race Track Rd Ste B, Bowie, MD 20715-3011 | 2012-10-24 |
| Find all providers in BOWIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.