Individual provider Active NPI

Michael Nawrocki

  • Physical Therapist
  • Parkville, MD
National Provider Identifier
1407206196
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25941 Issued in MD
Practice address
8005 Harford Rd
Suite 102
Parkville, MD 21234-5753
Phone
(410) 663-3133
Fax
(410) 663-3089
NPI assigned
Jun 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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 25941 MD Primary

Addresses

Primary practice location

8005 Harford Rd
Suite 102
Parkville, MD 21234-5753

Mailing address

8005 Harford Rd
Suite 102
Parkville, MD 21234-5753
Phone (410) 663-3133

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200512002534 MD Practitioner - Physical Therapist in Private Practice 1658702493 Reassigns benefits to 2 organizations
I20260420002520 DC Practitioner - Physical Therapist in Private Practice 1658702493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Physical Therapy, Inc.Group PAC ID 9739070228, 4 clinicians

Practice addresses (Care Compare)

8005 Harford Rd
Suite 102
Baltimore, MD 21234-5753
Phone (410) 663-3133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25941MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Physical Therapy, Inc. Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Advanced Home Care Services, Inc. PastSince Apr 1, 2020 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

8005 Harford Rd
Ste 102
Parkville, MD 21234
Phone (410) 663-3133

Organizations & group practices 5

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1407206196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 HARFORD RD",
            "address_2": "SUITE 102",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345753",
            "telephone_number": "410-663-3133",
            "fax_number": "410-663-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 HARFORD RD",
            "address_2": "SUITE 102",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345753",
            "telephone_number": "410-663-3133",
            "fax_number": "410-663-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWROCKI",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.