Active NPI
Madisyn Alana Komar, MOT
- Occupational Therapist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7315
- Practice address
- 1744 Sam Rittenberg Blvd Ste E
Charleston, SC 29407-4942 - Phone
- (843) 474-2240
- NPI assigned
- Dec 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7315 | SC | Primary |
Addresses
Primary practice location
1744 Sam Rittenberg Blvd Ste E
Charleston, SC 29407-4942
Mailing address
320 Seaport LN Unit 3112
Mount Pleasant, SC 29464-2996
Phone (757) 407-6524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, SC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Tides Speech and Language L.L.C. | Occupational Therapist | Current | Accepting new patients |
| JP Therapy, LLC | Current | Accepting new patients |
Locations
1744 Sam Rittenberg Blvd
Ste E
Charleston, SC 29407
Phone (607) 423-6613
11832 Rock Landing Dr
Ste 105
Newport News, VA 23606
Phone (571) 271-8168
5604 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Charleston, SC
- NPI 1750788410
Occupational Therapist
-
- Physical Rehabilitation Occupational Therapist
- Virginia Beach, VA
- NPI 1851770598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1811609779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SEAPORT LN UNIT 3112",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294642996",
"telephone_number": "757-407-6524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 SAM RITTENBERG BLVD STE E",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074942",
"telephone_number": "843-474-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMAR",
"first_name": "MADISYN",
"middle_name": "ALANA",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "7315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.