Individual provider Active NPI

Temrah M Okonski, PT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1376620526
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16547 Issued in MD
Practice address
7000 Tudsbury Rd
Baltimore, MD 21244-2675
Phone
(410) 298-7000
Fax
(410) 448-7366
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 16547 MD
Physical Therapist 225100000X 16547 MD Primary

Addresses

Primary practice location

7000 Tudsbury Rd
Baltimore, MD 21244-2675

Mailing address

7000 Tudsbury Rd
Baltimore, MD 21244-2675
Phone (240) 426-3404

Other practice location 1

3821 Plum Spring Ln
Ellicott City, MD 21042-5129
Phone (240) 426-3404

Other identifiers 1

IdentifierTypeStateIssuer
64495501OtherMDBLUE CROSS/ BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215002339 MD Practitioner - Physical Therapist in Private Practice 2163891136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3821 Plum Spring LN
Ellicott City, MD 21042-5129
Phone (240) 426-3404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enhancing Movement LLC Physical Therapist CurrentSince Dec 7, 2022 Accepting new patients
Pact: Helping Children With Special Needs, Inc. CurrentSince Oct 30, 2022 Accepting new patients
Pact Helping Children With Special Needs Inc Pediatrics PastSince Oct 30, 2022 Accepting new patients

Locations

2931 E Biddle St
Baltimore, MD 21213
Phone (443) 923-1872

7000 Tudsbury Rd
Baltimore, MD 21244
Phone (410) 298-7000

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1376620526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 TUDSBURY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442675",
            "telephone_number": "240-426-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 TUDSBURY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442675",
            "telephone_number": "410-298-7000",
            "fax_number": "410-448-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3821 Plum Spring Ln",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210425129",
            "country_code": "US",
            "telephone_number": "240-426-3404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKONSKI",
        "first_name": "TEMRAH",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-10-27",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "16547",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHEILD",
            "identifier": "64495501",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.