Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Black

Individual provider Physical Therapist · NPI 1508964396

Michelle Black is a Physical Therapist in Private Practice in Owings Mills, Maryland. Qualified in 1989, 37 years ago. Practices with Maryland Sportscare and Rehab LLC, a 161-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Maryland.

Years since qualifying
37
Licensed in
DC, MD
In the registry since
2006
Specialties on file
3

Practice location Address checks out

10995 Owings Mills Blvd Ste 210
Owings Mills, MD 21117-1030
Phone: (410) 654-2300
Fax: (410) 654-4561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 19159 (MD)
Physical Therapist Taxonomy 225100000X · Licence PT2843 (DC)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1508964396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020
Mailing address5454 Wisconsin Ave, Suite 1555, Chevy Chase, MD 20815

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Maryland Sportscare And Rehab Llc — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Owings Mills