Individual provider Active NPI

Michal W Mankowski, P.T.

  • Physical Therapist
  • Catonsville, MD
National Provider Identifier
1871749168
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15445 Issued in MD
Practice address
405 Frederick Rd
Suite 3
Catonsville, MD 21228-4645
Phone
(410) 744-8698
Fax
(410) 744-8699
NPI assigned
Aug 18, 2008
Last updated
Aug 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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 15445 MD Primary

Addresses

Primary practice location

405 Frederick Rd
Suite 3
Catonsville, MD 21228-4645

Mailing address

2909 Chestnut Hill Dr
Ellicott City, MD 21043-3411
Phone (410) 750-9392

Other identifiers 16

IdentifierTypeStateIssuer
03186OtherMDAMERIGROUP
062318101MedicaidMD
22309OtherMDMAMSI
5800456OtherMDAETNA PPO
18692OtherMDKAISER PERMANENTE MID-ATLANTIC STATES
2143999OtherMDAETNA HMO
22309OtherMDOPTIMUM CHOICE
R7760001OtherMDCAREFIRST BLUECROSS/BLUE SHIELD FEDERAL EMPLOYEES PROGRAM
R776OtherMDCAREFIRST BLUE CHOICE
1027OtherMDBRAVO HEALTH
22309OtherMDM.D. IPA
22309OtherMDALLIANCE
521419637OtherMDMULTIPLAN PPO
J512OtherMDCAREFIRST BLUE CROSS/BLUE SHIELD OF MARYLAND
146173400OtherMDO.W.C.P.
8010223PTOtherMDCIGNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15445MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kreis Physical Therapy LLC Physical Therapist CurrentSince Nov 9, 2025 Accepting new patients

Locations

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1871749168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 CHESTNUT HILL DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433411",
            "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": "410-744-8698",
            "fax_number": "410-744-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKOWSKI",
        "first_name": "MICHAL",
        "middle_name": "W",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "03186",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062318101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "22309",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5800456",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE MID-ATLANTIC STATES",
            "identifier": "18692",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2143999",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "22309",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS/BLUE SHIELD FEDERAL EMPLOYEES PROGRAM",
            "identifier": "R7760001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CHOICE",
            "identifier": "R776",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO HEALTH",
            "identifier": "1027",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.D. IPA",
            "identifier": "22309",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "22309",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN PPO",
            "identifier": "521419637",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS/BLUE SHIELD OF MARYLAND",
            "identifier": "J512",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "O.W.C.P.",
            "identifier": "146173400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "8010223PT",
            "state": "MD"
        }
    ],
    "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 Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.