Michelle Renee Komrower, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27763 Issued in MD

Practice address

954 Ridgebrook Rd Ste 330
Sparks Glencoe, MD 21152-9440

Phone

(443) 212-5745

Fax

(443) 212-5749

NPI assigned

Dec 3, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indigo Roland Park LLC

  • Physical Therapy Clinic/Center
  • Baltimore, MD
  • NPI 1134866809

  Physical Therapist

  Medicare reassignment NPD
• Sparks Physical Therapy, Inc.

  • Physical Therapist
  • Sparks, MD
  • NPI 1811716806
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1013554674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 RIDGEBROOK RD STE 330",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529440",
            "telephone_number": "443-212-5745",
            "fax_number": "443-212-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 RIDGEBROOK RD STE 330",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529440",
            "telephone_number": "443-212-5745",
            "fax_number": "443-212-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMROWER",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Halpert
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• Anjalissa D Johnson, LCADC, SAP, MAC
• Danielle Juliano, LCSW-C
• Kathryn Jenkins Psychiatry, LLC
• Mikhel Kushner
• Medstar Medical Group II LLC
• Nardine Assaad, MD, LLC
• Jesse Corine North, PT, DPT
• Sean O'Dea, M.A.T., BCBA, LBA

• Physical Therapist in Sparks Glencoe, MD
• Providers in Sparks Glencoe, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.