Eric Connelly Michaluk, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25629 Issued in MD

Practice address

4220 Cherry Valley Dr
Olney, MD 20832-2923

Phone

(240) 281-3718

NPI assigned

Aug 25, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mote Wellness & Rehab Inc

  • Chiropractor
  • Boynton Beach, FL
  • NPI 1326011917
  NPD (past)

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1134596182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 CHERRY VALLEY DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322923",
            "telephone_number": "240-281-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CHERRY VALLEY DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322923",
            "telephone_number": "240-281-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALUK",
        "first_name": "ERIC",
        "middle_name": "CONNELLY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25629",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31323",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60592029",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Anesthesia Practice, LLC
• Charles Francis Mess Sr., M.D.
• Mackenzie Meyer
• MGH Community Health
• MGH Community Health, Inc.
• Samuel Milbin, MD
• Chaya Milikowsky, CRNP
• Kenneth Milla, MA, CAS, NCSP
• Miller Eyecare Olney LLC
• Amy Lynn Miller, LMSW

• Physical Therapist in Olney, MD
• Providers in Olney, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.