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

Mr. Eli Nebres Fontanilla, PT

Individual provider Physical Therapist · NPI 1568686426

Mr. Eli Nebres Fontanilla, PT is a Physical Therapist in Private Practice in Laurel, Maryland. Qualified in 2012, 14 years ago. Practices with Centennial Medical Group, PA, a 34-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

10981 Johns Hopkins Rd
Laurel, MD 20723-6002
Phone: (410) 730-3399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6250 Old Dobbin Ln, Columbia, MD 21045-5816 — (410) 730-3399
  • 10120 Baltimore National Pike, Ellicott City, MD 21042-3614 — (410) 730-3399

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 26786 (NY)

Record details

NPI number1568686426
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Centennial Medical Group, Pa — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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