Active NPI
Michal W Mankowski, P.T.
- Physical Therapist
- Catonsville, MD
National Provider Identifier
1871749168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15445
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03186 | Other | MD | AMERIGROUP |
| 062318101 | Medicaid | MD | |
| 22309 | Other | MD | MAMSI |
| 5800456 | Other | MD | AETNA PPO |
| 18692 | Other | MD | KAISER PERMANENTE MID-ATLANTIC STATES |
| 2143999 | Other | MD | AETNA HMO |
| 22309 | Other | MD | OPTIMUM CHOICE |
| R7760001 | Other | MD | CAREFIRST BLUECROSS/BLUE SHIELD FEDERAL EMPLOYEES PROGRAM |
| R776 | Other | MD | CAREFIRST BLUE CHOICE |
| 1027 | Other | MD | BRAVO HEALTH |
| 22309 | Other | MD | M.D. IPA |
| 22309 | Other | MD | ALLIANCE |
| 521419637 | Other | MD | MULTIPLAN PPO |
| J512 | Other | MD | CAREFIRST BLUE CROSS/BLUE SHIELD OF MARYLAND |
| 146173400 | Other | MD | O.W.C.P. |
| 8010223PT | Other | MD | CIGNA 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15445 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kreis Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Catonsville, MD
- NPI 1750329488
-
- Physical Therapy Clinic/Center
- Catonsville, MD
- NPI 1053935106
Physical Therapist
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.