NPIMap

Organization Active NPI

Charter Physical Therapy, LLC

  • Physical Therapist
  • Reisterstown, MD
National Provider Identifier
1689629669
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14153 Issued in MD
Legal business name
CHARTER PHYSICAL THERAPY, LLC
Practice address
511 Main St
Reisterstown, MD 21136-1907
Phone
(410) 526-5307
Fax
(410) 526-8313
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Suzan Anne Winebrenner, PTNPI 1194774539
Title
Member/Physical Therapist
Phone
(410) 526-5307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 14153 MD Primary

Addresses

Primary practice location

511 Main St
Reisterstown, MD 21136-1907

Mailing address

511 Main St
Reisterstown, MD 21136-1907
Phone (410) 526-5307

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1689629669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361907",
            "telephone_number": "410-526-5307",
            "fax_number": "410-526-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361907",
            "telephone_number": "410-526-5307",
            "fax_number": "410-526-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "WINEBRENNER",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MEMBER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "410-526-5307",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "14153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.