Individual provider Active NPI

Gregory L. Komoroski, PT

  • Physical Therapist
  • Norvelt, PA
National Provider Identifier
1962437889
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT005422L Issued in PA
Practice address
PO Box 307
Norvelt, PA 15674-0307
Phone
(724) 424-4914
Fax
(724) 424-9822
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PT005422L PA Primary

Addresses

Primary practice location

PO Box 307
Norvelt, PA 15674-0307

Mailing address

1514 Elm St
Greensburg, PA 15601-5448
Phone (724) 691-5362

Other practice location 1

406 Route 217
Suite A
Latrobe, PA 15650
Phone (724) 537-0881

Other practice location 2

406 Route 217
Suite A
Latrobe, PA 15650
Phone (724) 537-0881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000499 PA Practitioner - Physical Therapist in Private Practice 1254305162 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory L Komoroski PT LLC CurrentSince Sep 23, 2017 Accepting new patients
PT Group Acquisition LLC Physical Therapist Past Accepting new patients
The Physical Therapy Institute Past Accepting new patients

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory L Komoroski PT LLC 2 clinicians

Practice addresses (Care Compare)

2310 Mt Pleasant Rd
Norvelt, PA 15674-9999
Phone (724) 424-4914

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962437889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 ELM ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015448",
            "telephone_number": "724-691-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "NORVELT",
            "state": "PA",
            "postal_code": "156740307",
            "telephone_number": "724-424-4914",
            "fax_number": "724-424-9822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Route 217",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "15650",
            "country_code": "US",
            "telephone_number": "724-537-0881",
            "fax_number": "724-537-3371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Route 217",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "15650",
            "country_code": "US",
            "telephone_number": "724-537-0881",
            "fax_number": "724-537-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMOROSKI",
        "first_name": "GREGORY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005422L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norvelt, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.