Active NPI
Michael Thomas Winebrenner, PT
- Physical Therapist
- Owings Mills, MD
National Provider Identifier
1801846332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19725
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19725 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Miller Rehabilitation Associates LLC | Physical Therapist | Current | Accepting new patients |
| Lee Miller Rehabilitation Associates LLC | Physical Therapist | Current | Accepting new patients |
| Charter Physical Therapy, LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Owings Mills, MD
- NPI 1588877153
-
- Physical Therapist
- Owings Mills, MD
- NPI 1962164996
-
- Physical Therapist
- Reisterstown, MD
- NPI 1689629669
-
- Endoscopy Clinic/Center
- Towson, MD
- NPI 1861689382
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.