Active NPI
Brenda Ellen Desutter-Gue
- Physical Therapist
- Hagerstown, MD
National Provider Identifier
1427191709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20834
- Practice address
- 227 N Cleveland Ave
Hagerstown, MD 21740-5000 - Phone
- (301) 733-3844
- NPI assigned
- Feb 15, 2007
- Last updated
- Aug 6, 2008
- 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 | 20834 | MD | Primary |
Addresses
Primary practice location
227 N Cleveland Ave
Hagerstown, MD 21740-5000
Mailing address
227 N Cleveland Ave
Hagerstown, MD 21740-5000
Phone (301) 733-3844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
227 N Cleveland Ave
Hagerstown, MD 21740-5000
Phone (301) 733-3844
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20834 | MD | MD | Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba O'Neill Physical Therapy
- Multi-Specialty Clinic/Center
- Hagerstown, MD
- NPI 1881737179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1427191709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 N CLEVELAND AVE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405000",
"telephone_number": "301-733-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 N CLEVELAND AVE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405000",
"telephone_number": "301-733-3844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESUTTER-GUE",
"first_name": "BRENDA",
"middle_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
- Patrick J Dennis, M.D.
- Dental Design Studio Inc
- Dental Professionals of Maryland, Badger, P.C. (Dentistry at Hagerstown)
- Derm-360 LLC
- Desena Health Consulting LLC (Maryland Spine and Health Chiropractic Clinic)
- Melissa Detwiler, BSN, RN
- Katrina Devore, ATC
- Devoted Wellness and Counseling Services LLC
- Devoted Wellness and Counseling Services LLC
- Devoted Wellness and Counseling Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.