Individual provider Active NPI

Charles C Kreis, P.T.

  • Physical Therapist
  • Catonsville, MD
National Provider Identifier
1851625859
Registry record updated Sep 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19582 Issued in MD
Practice address
405 Frederick Rd
Suite 3
Catonsville, MD 21228-4645
Phone
(410) 750-9392
Fax
(410) 750-8931
NPI assigned
Sep 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 19582 MD Primary

Addresses

Primary practice location

405 Frederick Rd
Suite 3
Catonsville, MD 21228-4645

Mailing address

405 Frederick Rd Ste 3
Catonsville, MD 21228-4607
Phone (410) 750-9392

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909000079 MD Practitioner - Physical Therapist in Private Practice 3779901749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 Frederick Rd
Catonsville, MD 21228-4607
Phone (410) 218-4813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kreis Physical Therapy LLC Physical Therapist CurrentSince Apr 22, 2020 Accepting new patients
Mankowski and Associates, P.a. Physical Therapist CurrentSince Sep 28, 2025 Accepting new patients

Locations

2801 Foster Ave
Baltimore, MD 21224
Phone (410) 342-0333

405 Frederick Rd
Ste 3
Catonsville, MD 21228
Phone (410) 218-4813

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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758412800000",
    "number": "1851625859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD STE 3",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284607",
            "telephone_number": "410-750-9392",
            "fax_number": "410-750-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD",
            "address_2": "SUITE 3",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284645",
            "telephone_number": "410-750-9392",
            "fax_number": "410-750-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIS",
        "first_name": "CHARLES",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.