Individual provider Active NPI

Madeleine Brewster, PT,DPT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1750094447
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT210002520 Issued in DC
Practice address
1115 U St NW Ste 202
Washington, DC 20009-7875
Phone
(202) 897-3991
NPI assigned
Dec 28, 2022
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05014447A IN
Physical Therapist 225100000X 1340584 TX
Physical Therapist 225100000X 304023 CA
Physical Therapist 225100000X 40QA02018500 NJ
Physical Therapist 225100000X PT39844 FL
Physical Therapist 225100000X PT210002520 DC Primary

Addresses

Primary practice location

1115 U St NW Ste 202
Washington, DC 20009-7875

Mailing address

1115 Tapestry Dr
Celebration, FL 34747-4034
Phone (574) 344-8634

Other practice location 1

900 S Bryan Rd
Mission, TX 78572-6613
Phone (956) 323-9000

Other practice location 2

4047 13th St
Saint Cloud, FL 34769-6772
Phone (407) 957-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117002561 DC Practitioner - Physical Therapist in Private Practice 1759810880 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304023CAMDPhysical Therapist
PT39844FLMDPhysical Therapist
05014447AINMDPhysical Therapist
40QA02018500NJMDPhysical Therapist
1340584TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Jan 14, 2025 Accepting new patients

Locations

1115 U St NW
Ste 202
Washington, DC 20009
Phone (202) 588-5885

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1750094447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 TAPESTRY DR",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474034",
            "telephone_number": "574-344-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 U ST NW STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200097875",
            "telephone_number": "202-897-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Bryan Rd",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785726613",
            "country_code": "US",
            "telephone_number": "956-323-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4047 13th St",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347696772",
            "country_code": "US",
            "telephone_number": "407-957-0370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "MADELEINE",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014447A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1340584",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304023",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02018500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39844",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT210002520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.