Look up the most recent NPI and PECOS records

Michal W Mankowski

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

405 Frederick Rd, Suite 3, Catonsville, MD 21228-4645

PECOS Enrollment

Based on the most recent information from CMS, provider Michal W Mankowski does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1871749168
Provider Type
Individual
Full Name
Mankowski, Michal W
Credential
P.T.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/18/2008
Last Updated
8/20/2008

Contact Information

Practice Location

405 Frederick Rd, Suite 3, Catonsville, MD 21228-4645

(410) 744-8698

(410) 744-8699

Mailing Location

2909 Chestnut Hill Dr, Ellicott City, MD 21043-3411

(410) 750-9392

(410) 750-8931

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 15445 Maryland

Provider Identifiers

ID	Description	Issuer
ID 03186	Description Other	Issuer AMERIGROUP Maryland
ID 062318101	Description Medicaid	Issuer Unlisted Maryland
ID 22309	Description Other	Issuer MAMSI Maryland
ID 5800456	Description Other	Issuer AETNA PPO Maryland
ID 18692	Description Other	Issuer KAISER PERMANENTE MID-ATLANTIC STATES Maryland
ID 2143999	Description Other	Issuer AETNA HMO Maryland
ID 22309	Description Other	Issuer OPTIMUM CHOICE Maryland
ID R7760001	Description Other	Issuer CAREFIRST BLUECROSS/BLUE SHIELD FEDERAL EMPLOYEES PROGRAM Maryland
ID R776	Description Other	Issuer CAREFIRST BLUE CHOICE Maryland
ID 1027	Description Other	Issuer BRAVO HEALTH Maryland
ID 22309	Description Other	Issuer M.D. IPA Maryland
ID 22309	Description Other	Issuer ALLIANCE Maryland
ID 521419637	Description Other	Issuer MULTIPLAN PPO Maryland
ID J512	Description Other	Issuer CAREFIRST BLUE CROSS/BLUE SHIELD OF MARYLAND Maryland
ID 146173400	Description Other	Issuer O.W.C.P. Maryland
ID 8010223PT	Description Other	Issuer CIGNA PPO Maryland

Michal W Mankowski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer