Michael Steven Lominac, PT, DPT, CCI

Individual provider Active NPI Physical Therapist · Solomons, MD

NPI 1922554724 · NPPES record last updated Jan 18, 2024

Key facts

NPI
1922554724
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
26275 (MD)
Practice address
20 Creston LN Ste D
Solomons, MD 20688-3076
Phone
(410) 231-2207
Fax
(833) 542-1343
NPI assigned
Aug 31, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Creston LN
Suite D
Solomons, MD 20688-3076
Phone (410) 231-2207

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180130001390 MD Practitioner - Physical Therapist in Private Practice 9739468752 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Galactic Empire Physical Therapist Current
since Dec 31, 2020
Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Current
since Jul 17, 2017
Accepting new patients
Sage Physical Therapy & Wellness LLC Physical Therapist Past Accepting new patients

Locations

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

20 Creston Ln
Ste D
Solomons, MD 20688
Phone (410) 231-2207

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26275 MD Yes

Addresses

Primary practice location

20 Creston LN Ste D
Solomons, MD 20688-3076

Mailing address

20 Creston LN Ste D
Solomons, MD 20688-3076
Phone (410) 231-2207

Other providers in Solomons, MD

All providers in Solomons, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.