Individual provider Active NPI

Mark Karolkowski

  • Occupational Therapist
  • Rockville, MD
National Provider Identifier
1417342775
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
05099 Issued in MD
Practice address
51 Monroe St
Suite 1207
Rockville, MD 20850-2421
Phone
(301) 838-2040
Fax
(301) 838-2041
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 05099 MD Primary

Addresses

Primary practice location

51 Monroe St
Suite 1207
Rockville, MD 20850-2421

Mailing address

1700 Reisterstown Rd
Suite 125
Pikesville, MD 21208-1416
Phone (410) 484-0081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab at Work, Corp. PastSince Jan 1, 2011 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1417342775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD",
            "address_2": "SUITE 125",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081416",
            "telephone_number": "410-484-0081",
            "fax_number": "410-484-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MONROE ST",
            "address_2": "SUITE 1207",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502421",
            "telephone_number": "301-838-2040",
            "fax_number": "301-838-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAROLKOWSKI",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.