Individual provider Active NPI

Madisyn Alana Komar, MOT

  • Occupational Therapist
  • Charleston, SC
National Provider Identifier
1811609779
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7315 Issued in SC
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

Updated by the provider on Mar 11, 2026

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 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, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230416000026 VA Practitioner - Occupational Therapist in Private Practice 8527433036 Reassigns benefits to 1 organization
I20250106002275 SC Practitioner - Occupational Therapist in Private Practice 8527433036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Tides Speech and Language L.L.C. Occupational Therapist CurrentSince Sep 19, 2024 Accepting new patients
JP Therapy, LLC CurrentSince Feb 28, 2023 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.

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.

Verify at the official NPI Registry.