Individual provider Active NPI

Jenifer Redinger

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1902217631
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21550 Issued in MD
Practice address
2833 Pinewood Ave
Baltimore, MD 21214-1228
Phone
(443) 444-5305
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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 21550 MD Primary

Addresses

Primary practice location

2833 Pinewood Ave
Baltimore, MD 21214-1228

Mailing address

2833 Pinewood Ave
Baltimore, MD 21214-1228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831001224 AK Practitioner - Physical Therapist in Private Practice 3375906878 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Waters Physical Therapy LLCGroup PAC ID 7012244254, 4 clinicians

Practice addresses (Care Compare)

9061 E Frontage Rd
Palmer, AK 99645-9317
Phone (907) 795-4255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21550MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Waters Physical Therapy LLC Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Alaska Aquatic Therapy Inc. Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Optimum Health and Wellness Physical Therapy, Inc. Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients

Locations

4079 Tongass Ave
Ste 102
Ketchikan, AK 99901
Phone (907) 225-7808

9061 E Frontage Rd
Palmer, AK 99645
Phone (907) 331-6992

Organizations & group practices 3

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1902217631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 PINEWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 PINEWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141228",
            "telephone_number": "443-444-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDINGER",
        "first_name": "JENIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.