Active NPI
Suzan Anne Winebrenner, PT
- Physical Therapist
- Frederick, MD
National Provider Identifier
1194774539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14153
- Practice address
- 1562 Opossumtown Pike
Frederick, MD 21702-4337 - Phone
- (240) 566-2132
- Fax
- (240) 566-4065
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14153 | MD | Primary |
Addresses
Primary practice location
1562 Opossumtown Pike
Frederick, MD 21702-4337
Mailing address
400 W Seventh St
Frederick, MD 21701-4506
Phone (240) 566-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charter Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Reisterstown, MD
- NPI 1689629669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1194774539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W SEVENTH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014506",
"telephone_number": "240-566-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1562 OPOSSUMTOWN PIKE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024337",
"telephone_number": "240-566-2132",
"fax_number": "240-566-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINEBRENNER",
"first_name": "SUZAN",
"middle_name": "ANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "14153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.