Brian Arthur Komisarski, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT012351L Issued in PA

Practice address

607 E 26TH St
Erie, PA 16504-2813

Phone

(814) 451-1334

Fax

(814) 480-5843

NPI assigned

Aug 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy at Your Place LLCGroup PAC ID 7810375250, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Therapy at Your Place LLC

  • Occupational Therapist
  • Fairview, PA
  • NPI 1972264794

  Geriatrics

  Medicare reassignment Care Compare group NPD
• Cortlyn Therapy, PC

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1235725730

  Geriatrics, PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1467730820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E 33RD ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041641",
            "telephone_number": "814-451-1334",
            "fax_number": "814-480-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042813",
            "telephone_number": "814-451-1334",
            "fax_number": "814-480-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMISARSKI",
        "first_name": "BRIAN",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT012351L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Kenneth Kohl, MA, LPC
• William Kohler
• Dillon C Kolacz, MD
• Gary F Kolarik, DO
• Michael Thomas Kolodychak, D.M.D.
• Kevin Charles Komisarski
• Michelle Komisarski, MA CCC/SLP
• Hannah Rose Kondrlik, CRNP
• Kimberly A Konieczki, CRNP
• Christina Kaye Konnerth, LSW

• Geriatric Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Geriatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.