Individual provider Active NPI

Jennifer G Hine, PT

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1750617122
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18112 Issued in MD
Practice address
10750 Columbia Pike Ste 401B
Silver Spring, MD 20901-4457
Phone
(301) 592-1500
NPI assigned
Oct 20, 2009
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 18112 MD Primary

Addresses

Primary practice location

10750 Columbia Pike Ste 401B
Silver Spring, MD 20901-4457

Mailing address

100 Walter Ward Blvd Ste 200
Abingdon, MD 21009-1285
Phone (301) 592-1500

Other practice location 1

1009 Mattlind Way
Milford, DE 19963-5369
Phone (443) 512-8337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130206000150 DC Practitioner - Physical Therapist in Private Practice 4981858628
I20240229002441 DE Practitioner - Physical Therapist in Private Practice 4981858628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Physical Therapy and Fitness of Delaware LLCGroup PAC ID 8325417306, 6 clinicians

Practice addresses (Care Compare)

1009 Mattlind Way
Suite 200
Milford, DE 19963-5369
Phone (443) 512-8337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18112MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy & Fitness of Delaware LLC CurrentSince Feb 1, 2024 Accepting new patients
Innovative Physical Therapy & Fitness of Delaware LLC CurrentSince May 25, 2025 Accepting new patients
Innovative Physical Therapy & Fitness of Delaware LLC PastSince May 25, 2025 Accepting new patients

Locations

1057 N DuPont Hwy
Dover, DE 19901
Phone (302) 291-1255

1009 Mattlind Way
Milford, DE 19963
Phone (302) 424-1760

1009 Mattlind Way
Ste 200
Milford, DE 19963

34814 Long Neck Rd
Unit 1
Millsboro, DE 19966
Phone (302) 291-1255

2300 Pennsylvania Ave
Ste 1A
Wilmington, DE 19806
Phone (302) 655-0355

100 Walter Ward Blvd
Ste 200
Abingdon, MD 21009
Phone (443) 512-8484

9526 Philadelphia Rd
Rosedale, MD 21237
Phone 4435128337215

Organizations & group practices 4

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1750617122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD STE 200",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091285",
            "telephone_number": "301-592-1500",
            "fax_number": "443-327-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE STE 401B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014457",
            "telephone_number": "301-592-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Mattlind Way",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199635369",
            "country_code": "US",
            "telephone_number": "443-512-8337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINE",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.

Verify at the official NPI Registry.