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DR. JENNIFER M PELLEG DPT
NPI 1275898421
Physical Therapist - Orthopedic in Columbia, MD

Active since July 12, 2012
11085 LITTLE PATUXENT PKWY STE 207, COLUMBIA, MD 21044(410) 884-4111 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jennifer M Pelleg Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER M PELLEG DPT (NPI 1275898421) is an individual orthopedic provider in Columbia, Maryland, licensed in Maryland (25802) and active in the NPI registry since July 2012. She maintains a secondary practice location in Columbia and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275898421
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameDR. JENNIFER M PELLEGCredential: DPT
Location Address11085 LITTLE PATUXENT PKWY STE 207Columbia, MD 21044-2979
Mailing Address5715 Old Buggy CtColumbia, MD 21045-2513 · (610) 952-8961
Phone(410) 884-4111
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 12, 2012
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1275898421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Licenses✔ Licensed in MD · 25802✔ Licensed in PA · PT022075
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
11085 LITTLE PATUXENT PKWY STE 207, Columbia, MD 21044
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Other Names 1

Former Name (1)Jennifer M Breithaupt Dpt

Secondary Practice Location 1

Location 19160 Rumsey Rd Ste B4Columbia, MD 21045-2034 · Phone (410) 381-1574 · Fax (410) 381-5174

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer M Pelleg Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436305943
PECOS Enrollment IDI20240427000074

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Pelleg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Performance Physical Therapy And Sports Rehabilitation LLC
3.3 mi
Sports Medicine
9194 RED BRANCH RD STE J
Columbia, MD 21045
  • Reassigned Medicare billing, Maryland enrollment
  • 6 clinicians in this Medicare group
NPI 1003313966 (410) 997-2585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN HULL PT
Physical Therapist
11085 LITTLE PATUXENT PKWY STE 207
COLUMBIA, MD 21044
Howard County (410) 884-4111
THE JOHNS HOPKINS HOSPITAL
Clinic/Center (Rehabilitation)
11085 LITTLE PATUXENT PKWY STE 207
COLUMBIA, MD 21044
Howard County (443) 997-5476

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Pelleg's NPI number?

The NPI number for Jennifer Pelleg is 1275898421. It was assigned to this individual provider in the NPPES registry on July 12, 2012. The provider is also known as Jennifer M Breithaupt Dpt.

Where is Jennifer Pelleg located?

Jennifer Pelleg practices at 11085 Little Patuxent Pkwy Ste 207, Columbia, MD 21044. The listed phone number is (410) 884-4111.

What is Jennifer Pelleg's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jennifer Pelleg enrolled in Medicare?

Yes. Jennifer Pelleg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Pelleg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Pelleg reassigns Medicare benefits to Performance Physical Therapy And Sports Rehabilitation LLC (Columbia, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Pelleg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Pelleg was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.