Individual provider Active NPI

Cynthia Brendle, PTA

  • Physical Medicine & Rehabilitation Physician
  • Hagerstown, MD
National Provider Identifier
1407387384
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
TEI001058 Issued in PA
Practice address
19800 Tranquility Circle
Robinwood Campus
Hagerstown, MD 21742
Phone
(240) 420-4133
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X TEI001058 PA Primary
Physical Therapy Assistant 225200000X A2446 MD

Addresses

Primary practice location

19800 Tranquility Circle
Robinwood Campus
Hagerstown, MD 21742

Mailing address

319 Mealey Pkwy
Hagerstown, MD 21742-3433
Phone (717) 521-4229

Other identifiers 1

IdentifierTypeStateIssuer
1407387384MedicaidMD

Other names 1

  • Ms. Cindy Brendle Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbrendle85852@phsdirect.pinnaclehealth.org

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TEI001058PAMDPhysical Medicine & Rehabilitation Physician
A2446MDMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1407387384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MEALEY PKWY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423433",
            "telephone_number": "717-521-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 TRANQUILITY CIRCLE",
            "address_2": "ROBINWOOD CAMPUS",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "240-420-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDLE",
        "first_name": "CYNTHIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "TEI001058",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407387384",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbrendle85852@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "300 Highland Ave",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "BRENDLE",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.