Individual provider Active NPI

Kelsey Brewer, D.P.T

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1407157787
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23466 Issued in MD
Practice address
10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1106
Phone
(240) 482-2414
Fax
(301) 897-8597
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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 23466 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1106

Mailing address

10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1106
Phone (240) 482-2414

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

State licenses

LicenseStateTypeSpecialty
23466MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Chevy Chase Orthopaedic Associates, LLC Past Accepting new patients
Advanced Physical Therapy Center of Stamford, LLC PastSince May 25, 2013 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1407157787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "SUITE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "240-482-2414",
            "fax_number": "301-897-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "SUITE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "240-482-2414",
            "fax_number": "301-897-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "KELSEY",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.