NPIMap

Individual provider Active NPI

Lynn H Brewer, MPT

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1871632695
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20469 Issued in MD
Practice address
604 Solarex CT
Suite 104
Frederick, MD 21703-7005
Phone
(301) 662-9335
Fax
(301) 662-9337
NPI assigned
Feb 6, 2007
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20469 MD Primary
Physical Therapist 225100000X 2305205223 VA

Addresses

Primary practice location

604 Solarex CT
Suite 104
Frederick, MD 21703-7005

Mailing address

5252 Lyngate CT
#203
Burke, VA 22015-1672
Phone (703) 239-2310

Other identifiers 1

IdentifierTypeStateIssuer
8825 - 0004OtherCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050812000315 DC Practitioner - Physical Therapist in Private Practice 1456380146 Reassigns benefits to 1 organization
I20050812000352 MD Practitioner - Physical Therapist in Private Practice 1456380146 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab PT MD LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Blue Ridge Physical and Hand Therapy Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Active Physical Therapy Services, LLC Physical Therapist Past Accepting new patients
RM Health Services, Inc. Physical Therapist Past Accepting new patients
RM Health Services, Inc. Physical Therapist PastSince Dec 19, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Amber Hill Physical Therapy, Inc. Physical Therapist PastSince Feb 8, 1990 Accepting new patients

Locations

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 8

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1871632695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 LYNGATE CT",
            "address_2": "#203",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151672",
            "telephone_number": "703-239-2310",
            "fax_number": "703-239-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SOLAREX CT",
            "address_2": "SUITE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037005",
            "telephone_number": "301-662-9335",
            "fax_number": "301-662-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "LYNN",
        "middle_name": "H",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20469",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "8825 - 0004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.