Individual provider Active NPI

Michael Nolte, DPT

  • Physical Therapist
  • Ellicott City, MD
National Provider Identifier
1629645957
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28440 Issued in MD
Practice address
6011 University Blvd Ste 120
Ellicott City, MD 21043-6104
Phone
(410) 203-0391
Fax
(410) 203-2707
NPI assigned
Jun 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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 28440 MD Primary

Addresses

Primary practice location

6011 University Blvd Ste 120
Ellicott City, MD 21043-6104

Mailing address

6011 University Blvd Ste 120
Ellicott City, MD 21043-6104
Phone (410) 203-0391

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210721000308 MD Practitioner - Physical Therapist in Private Practice 0345643912 Reassigns benefits to 2 organizations
I20260213000624 DC Practitioner - Physical Therapist in Private Practice 0345643912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians
Homecare Rehab and Nursing LLCGroup PAC ID 7517026198, 11 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

197 Thomas Johnson Dr
Suite B
Frederick, MD 21702-4314
Phone (301) 662-1997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28440MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Physical Therapist CurrentSince Feb 18, 2026 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Feb 18, 2026 Accepting new patients
Homecare Rehab and Nursing LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

197 Thomas Johnson Dr
Ste B
Frederick, MD 21702
Phone (301) 662-1997

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11237/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1629645957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 UNIVERSITY BLVD STE 120",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436104",
            "telephone_number": "410-203-0391",
            "fax_number": "410-203-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 UNIVERSITY BLVD STE 120",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436104",
            "telephone_number": "410-203-0391",
            "fax_number": "410-203-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLTE",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.