Provider Demographics
NPI:1750094447
Name:BREWSTER, MADELEINE (PT,DPT)
Entity type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:
Last Name:BREWSTER
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 TAPESTRY DR
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-4034
Mailing Address - Country:US
Mailing Address - Phone:574-344-8634
Mailing Address - Fax:
Practice Address - Street 1:1115 U ST NW STE 202
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-7875
Practice Address - Country:US
Practice Address - Phone:202-897-3991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-28
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05014447A225100000X
TX1340584225100000X
CA304023225100000X
NJ40QA02018500225100000X
FLPT39844225100000X
DCPT210002520225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist