Individual provider Active NPI

Kayla Anne Korenowski, DPT

  • Physical Therapist
  • Potomac, MD
National Provider Identifier
1013663798
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28885 Issued in MD
Practice address
7811 Montrose Rd Ste 340
Potomac, MD 20854-3359
Phone
(301) 588-7888
NPI assigned
Feb 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28885 MD Primary

Addresses

Primary practice location

7811 Montrose Rd Ste 340
Potomac, MD 20854-3359

Mailing address

7811 Montrose Rd Ste 340
Potomac, MD 20854-3359
Phone (301) 588-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220401002408 MD Practitioner - Physical Therapist in Private Practice 9032505995 Reassigns benefits to 2 organizations
I20230720002264 DC Practitioner - Physical Therapist in Private Practice 9032505995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

7811 Montrose Rd
Suite 340
Potomac, MD 20854-3359
Phone (301) 588-7888

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28885MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Dec 11, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
True Sports Physical Therapy, LLC Physical Therapist CurrentSince Mar 8, 2022 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 11, 2023 Accepting new patients
True Sports Physical Therapy 2, LLC Past Accepting new patients

Locations

710 S Ann St
Fl 2
Baltimore, MD 21231
Phone (667) 401-8847

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

7811 Montrose Rd
Ste 340
Potomac, MD 20854
Phone (301) 588-7888

2240 Greenspring Dr
Timonium, MD 21093
Phone 4109893833 ext. 2

Interoperability endpoints

  • Direct secure messaging: kayla.korenowski.1@8042.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1013663798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 MONTROSE RD STE 340",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543359",
            "telephone_number": "301-588-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 MONTROSE RD STE 340",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543359",
            "telephone_number": "301-588-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENOWSKI",
        "first_name": "KAYLA",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.