Individual provider Active NPI

Jenny Lee Baeuerle, DPT

  • Physical Therapist
  • Chevy Chase, MD
National Provider Identifier
1194309534
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28049 Issued in MD
Practice address
5530 Wisconsin Ave Ste 1650
Chevy Chase, MD 20815-4323
Phone
(301) 986-9100
Fax
(301) 657-8229
NPI assigned
May 11, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 28049 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1650
Chevy Chase, MD 20815-4323

Mailing address

5530 Wisconsin Ave Ste 1650
Chevy Chase, MD 20815-4323
Phone (301) 986-9100

Other names 1

  • Jenny Lee Kantor Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616000940 DC Practitioner - Physical Therapist in Private Practice 6103226998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

7500 Old Georgetown Rd
Suite 301
Bethesda, MD 20814-6133
Phone (301) 657-9876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 21, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Elissa Driban and Associates, LLC CurrentSince Jun 6, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Medicine & Rehabilitation CurrentSince Jun 21, 2021 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Centers for Advanced Orthopaedics, LLC PastSince Jun 6, 2021 Accepting new patients

Locations

5530 Wisconsin Ave
Ste 1650
Chevy Chase, MD 20815
Phone (301) 986-9100

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1194309534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1650",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154323",
            "telephone_number": "301-986-9100",
            "fax_number": "301-657-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1650",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154323",
            "telephone_number": "301-986-9100",
            "fax_number": "301-657-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEUERLE",
        "first_name": "JENNY",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "KANTOR",
            "middle_name": "LEE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.