Individual provider Active NPI

Lynnz Morgynn Brewer, DPT, ATC

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1750858429
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23441 Issued in NC
Practice address
815 Oberlin Rd Ste 302
Raleigh, NC 27605-1351
Phone
(919) 670-4097
NPI assigned
Oct 30, 2018
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X
Physical Therapist 225100000X P23441 NC Primary

Addresses

Primary practice location

815 Oberlin Rd Ste 302
Raleigh, NC 27605-1351

Mailing address

815 Oberlin Rd Ste 302
Raleigh, NC 27605-1351
Phone (803) 412-9110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826000809 NC Practitioner - Physical Therapist in Private Practice 8426597253 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

815 Oberlin Rd
Suite 302
Raleigh, NC 27605-1300
Phone (919) 670-4097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Aug 5, 2024 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

815 Oberlin Rd
Ste 302
Raleigh, NC 27605
Phone (919) 670-4097

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1750858429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 OBERLIN RD STE 302",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051351",
            "telephone_number": "803-412-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 OBERLIN RD STE 302",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051351",
            "telephone_number": "919-670-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "LYNNZ",
        "middle_name": "MORGYNN",
        "name_prefix": "Dr.",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2018-10-30",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.