Active NPI
Sean Vincent McComiskey, PT, DPT
- Physical Therapist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27148
- Practice address
- 2000 Girard Ave
Baltimore, MD 21211-1595 - Phone
- (443) 977-4470
- Fax
- (443) 687-8684
- NPI assigned
- Aug 15, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27148 | MD | Primary |
Addresses
Primary practice location
2000 Girard Ave
Baltimore, MD 21211-1595
Mailing address
611 S Paca St
Baltimore, MD 21230-2411
Phone (443) 977-4470
Other practice location 1
660 Kenilworth Dr Ste 102
Baltimore, MD 21204-2353
Phone (410) 296-9311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
600 Wyndhurst Ave
Suite 100 a
Baltimore, MD 21210-2489
Phone (443) 977-4470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Tree Physical Therapy and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
600 Wyndhurst Ave
Ste 100A
Baltimore, MD 21210
Phone (443) 977-4470
2000 Girard Ave
Baltimore, MD 21211
Phone (410) 929-1596
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Baltimore, MD
- NPI 1225650633
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1407336969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 S PACA ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212302411",
"telephone_number": "443-977-4470",
"fax_number": "443-687-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 GIRARD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212111595",
"telephone_number": "443-977-4470",
"fax_number": "443-687-8684"
}
],
"practiceLocations": [
{
"address_1": "660 Kenilworth Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212042353",
"country_code": "US",
"telephone_number": "410-296-9311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOMISKEY",
"first_name": "SEAN",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-15",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27148",
"primary": true
}
],
"identifiers": [],
"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 May 6, 2020; 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.