Veronika Humicsko, PT

Individual provider Active NPI Physical Therapist · Lansdowne, MD

NPI 1225580848 · NPPES record last updated Oct 24, 2022

Key facts

NPI
1225580848
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
26097 (MD)
Practice address
3551 Washington Blvd
Lansdowne, MD 21227-1683
Phone
(443) 566-4260
Fax
(443) 558-1090
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLC (166 clinicians)

Practice addresses (Care Compare)

25 Main St
Suite a
Reisterstown, MD 21136-1248
Phone (410) 833-8300

3551 Washington Blvd
Halethorpe, MD 21227-1672
Phone (443) 566-4260

757 Frederick Rd
Suite 103
Catonsville, MD 21228-4520
Phone (410) 719-8661

9815 Main St
Suite 206
Damascus, MD 20872-2099
Phone (301) 253-6761

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MD, DC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20161201001547 MD Practitioner - Physical Therapist in Private Practice 1052691425 Reassigns benefits to 1 organization
I20221108000607 DC Practitioner - Physical Therapist in Private Practice 1052691425 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26097 MD Yes

Addresses

Primary practice location

3551 Washington Blvd
Lansdowne, MD 21227-1683

Mailing address

501 Fairmount Ave
Ste 302
Towson, MD 21286-5457
Phone (410) 927-8768

Other practice location 1

844 Washington Rd
Ste 101
Westminster, MD 21157-6664
Phone (410) 876-5600

Other providers in Lansdowne, MD

All providers in Lansdowne, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.