Individual provider Active NPI

Michael Thomas Winebrenner, PT

  • Physical Therapist
  • Owings Mills, MD
National Provider Identifier
1801846332
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19725 Issued in MD
Practice address
20 Crossroads Dr Ste 13
Owings Mills, MD 21117-5479
Phone
(410) 363-0015
Fax
(410) 356-7763
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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 19725 MD Primary

Addresses

Primary practice location

20 Crossroads Dr Ste 13
Owings Mills, MD 21117-5479

Mailing address

2 E Rolling XRDS
Ste 57
Catonsville, MD 21228-6212
Phone (443) 860-9168

Other practice location 1

2 E Rolling XRDS
Ste 57
Catonsville, MD 21228-6212
Phone (443) 860-9168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061002000386 MD Practitioner - Physical Therapist in Private Practice 7315942067 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19725MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Miller Rehabilitation Associates LLC Physical Therapist CurrentSince Oct 10, 2021 Accepting new patients
Lee Miller Rehabilitation Associates LLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Charter Physical Therapy, LLC Physical Therapist PastSince Apr 1, 2006 Accepting new patients
Lifebridge Investments, Inc Past Accepting new patients

Locations

2 E Rolling Xrds
Ste 57
Catonsville, MD 21228
Phone (410) 747-1830

20 Crossroads Dr
Ste 13
Owings Mills, MD 21117
Phone (410) 363-0015

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1801846332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E ROLLING XRDS",
            "address_2": "STE 57",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286212",
            "telephone_number": "443-860-9168",
            "fax_number": "443-636-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR STE 13",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175479",
            "telephone_number": "410-363-0015",
            "fax_number": "410-356-7763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 E ROLLING XRDS",
            "address_2": "STE 57",
            "address_purpose": "LOCATION",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286212",
            "country_code": "US",
            "telephone_number": "443-860-9168",
            "fax_number": "443-636-5987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINEBRENNER",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.