Brenna Alewynse
Individual provider Active NPI Physical Therapist · Waldorf, MD
NPI 1790551166 · NPPES record last updated Nov 28, 2023
Key facts
- NPI
- 1790551166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 29743 (MD)
- Practice address
- 11665 Doolittle Dr
Waldorf, MD 20602-2898 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Nov 28, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services LLC
Practice addresses (Care Compare)
9885 Greenbelt Rd
Lanham, MD 20706-2302
Phone (877) 407-3422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231227000836 | MD | Practitioner - Physical Therapist in Private Practice | 7113377557 | Reassigns benefits to 1 organization |
| I20231227000990 | DC | Practitioner - Physical Therapist in Private Practice | 7113377557 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Physical Therapist | Current |
Accepting new patients |
| Fox Rehab PT MD LLC | Physical Therapist | Current |
Accepting new patients |
Locations
11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29743 | MD | Yes |
Addresses
Primary practice location
11665 Doolittle Dr
Waldorf, MD 20602-2898
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other providers in Waldorf, MD
- Aisha Alam
- Ghadh Saleh Alamro
- Nelson Aderemi Alawode
- Oludolapo Henrietta Alebiosu
- Miriam Aleproti
- Rachel Alfano
- Kent Leon Alford
- Said M Ali
- Aligned Vision Behavior LLC
- Sevil Aliyeva
All providers in Waldorf, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.