Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Datiles, DPT

Individual provider Physical Therapist · NPI 1154096766

Michael Datiles, DPT is a Physical Therapist in Private Practice in Forestville, Maryland. Qualified in 2021, 5 years ago. Practices with Ati Holdings, LLC, a 439-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
5
Licensed in
MD, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2950 Donnell Dr Ste G
Forestville, MD 20747-3277
Phone: (240) 492-3410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8501 Arlington Blvd Ste 200, Fairfax, VA 22031-4625 — (703) 970-6490

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30647 (MD)
Physical Therapist Taxonomy 225100000X · Licence 2305214541 (VA)

Record details

NPI number1154096766
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 16, 2021
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Forestville