Individual provider Active NPI

Brian Winkler

  • Physical Therapist
  • Glen Mills, PA
National Provider Identifier
1265904213
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030298 Issued in PA
Practice address
101 Applied Bank Blvd Ste D4
Glen Mills, PA 19342-3501
Phone
(610) 459-2731
NPI assigned
Dec 31, 2018
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0014248 DE
Physical Therapist 225100000X PT030298 PA Primary
Physical Therapist 225100000X P18491 NC

Addresses

Primary practice location

101 Applied Bank Blvd Ste D4
Glen Mills, PA 19342-3501

Mailing address

101 Applied Bank Blvd Ste D4
Glen Mills, PA 19342-3501

Other practice location 1

210 Cleaver Farms Rd Ste 1
Middletown, DE 19709-1670
Phone (302) 449-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201007002030 DE Practitioner - Physical Therapist in Private Practice 5294073342 Reassigns benefits to 2 organizations
I20231009002182 PA Practitioner - Physical Therapist in Private Practice 5294073342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lindell Physical Therapy of Delaware PAGroup PAC ID 8921176413, 14 clinicians

Practice addresses (Care Compare)

3300 Concord Pike
Suite 4
Wilmington, DE 19803-5038
Phone (302) 753-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014248DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lindell Physical Therapy of Delaware PA Physical Therapist CurrentSince Mar 2, 2026 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Oct 1, 2023 Accepting new patients
Premier Physical Therapy and Sports Performance Limited Partnership Physical Therapist CurrentSince Sep 22, 2020 Accepting new patients
Premier Physical Therapy and Sports Performance Limited Partnership CurrentSince Sep 22, 2020 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Physical Therapist Current Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

1050 Industrial Dr
Ste 210
Middletown, DE 19709

210 Cleaver Farms Rd
Ste 1
Middletown, DE 19709
Phone (302) 449-2047

100 S Main St
Ste 300
Smyrna, DE 19977
Phone (302) 389-7855

3300 Concord Pike
Ste 4
Wilmington, DE 19803
Phone (302) 753-2700

101 Applied Bank Blvd
Ste D4
Glen Mills, PA 19342
Phone (610) 459-2731

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": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1265904213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 APPLIED BANK BLVD STE D4",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193423501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 APPLIED BANK BLVD STE D4",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193423501",
            "telephone_number": "610-459-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Cleaver Farms Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197091670",
            "country_code": "US",
            "telephone_number": "302-449-2048",
            "fax_number": "302-449-2047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINKLER",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-31",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014248",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030298",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.