IndividualActive
Robert Ninan, DPT
NPI 1083033856 · Physical Therapist · Glenn Dale, MD
Provider details
- NPI number
- 1083033856
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 24847 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12150 Annapolis Rd Ste 305
Glenn Dale, MD 20769-9183
Phone: (301) 853-0093
Fax: (301) 853-0096
Street-level locationGet directions
Mailing address
14205 Park Center Dr
Laurel, MD 20707-5246
Additional practice locations (3)
- 3311 Toledo TerSuite A1Hyattsville, MD 20782-4135Phone: (301) 853-0093Fax: (301) 853-0096
- 14205 Park Center Dr Ste 204Laurel, MD 20707-5252Phone: (301) 853-0093Fax: (301) 853-0096
- 2730 University Blvd W Ste 802Silver Spring, MD 20902-1977Phone: (301) 853-0093Fax: (301) 853-0096
Registry dates
- Enumerated
- 2014-04-09
- Last updated
- 2020-02-19
- Certified
- 2020-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.