Individual provider Active NPI

Christiana Michelle Korbelak

  • Physical Therapist
  • Timonium, MD
National Provider Identifier
1487165023
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26710 Issued in MD
Practice address
1 Texas Station CT Ste 315
Timonium, MD 21093-8289
Phone
(410) 628-2180
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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 26710 MD Primary

Addresses

Primary practice location

1 Texas Station CT Ste 315
Timonium, MD 21093-8289

Mailing address

6914 Holabird Ave
Baltimore, MD 21222-1747
Phone (410) 284-5441

Other practice location 1

1205 York Rd Ste 19
Lutherville, MD 21093-6211
Phone (410) 296-9195

Other names 1

  • Christiana Michelle Grosso Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171120001667 MD Practitioner - Physical Therapist in Private Practice 1557628971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

1 Texas Station CT
Suite 315
Timonium, MD 21093-8289
Phone (410) 628-2180

1220 A E Joppa Rd
Towson, MD 21286-5817
Phone (410) 337-2470

9171 Balt Nat Pike
Suite 120
Ellicott City, MD 21042-3946
Phone (410) 480-3705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Fitness Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2017 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2017 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Nov 10, 2025 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Nov 10, 2025 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

6914 Holabird Ave
Dundalk, MD 21222
Phone (410) 284-5441

9171 Baltimore National Pike
Ste 120
Ellicott City, MD 21042
Phone (410) 480-3705

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

1205 York Rd
Ste 19
Lutherville Timonium, MD 21093
Phone (410) 269-9195

23 Crossroads Dr
Ste 300
Owings Mills, MD 21117
Phone (410) 998-9133

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

1 Texas Station Ct
Ste 315
Timonium, MD 21093
Phone (410) 628-2180

1220A E Joppa Rd
Ste 234
Towson, MD 21286
Phone (410) 337-2470

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1487165023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 HOLABIRD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212221747",
            "telephone_number": "410-284-5441",
            "fax_number": "410-284-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TEXAS STATION CT STE 315",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210938289",
            "telephone_number": "410-628-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 York Rd Ste 19",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210936211",
            "country_code": "US",
            "telephone_number": "410-296-9195",
            "fax_number": "410-296-9197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORBELAK",
        "first_name": "CHRISTIANA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIANA",
            "last_name": "GROSSO",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.