Stacia Brenneman, P.T.
Individual provider Active NPI Physical Therapist · Salina, KS
NPI 1033664388 · NPPES record last updated Aug 30, 2016
Key facts
- NPI
- 1033664388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-03175 (KS)
- Practice address
- 520 S Santa Fe Ave
Salina, KS 67401-4190 - Phone
- (785) 452-6668
- NPI assigned
- Aug 16, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic Clinic of Salina
Practice addresses (Care Compare)
523 S Santa Fe Ave
Salina, KS 67401-4145
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160929001393 | KS | Practitioner - Physical Therapist in Private Practice | 9638466964 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Clinic of Salina | Current |
Accepting new patients |
Locations
523 S Santa Fe Ave
#O
Salina, KS 67401
Phone (785) 823-2215
523 S Santa Fe Ave
Salina, KS 67401
Phone (785) 823-2215
Interoperability endpoints
- sbrenneman@salinaortho.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-03175 | KS | Yes |
Addresses
Primary practice location
520 S Santa Fe Ave
Salina, KS 67401-4190
Mailing address
521 S Santa Fe Ave
Ste a
Salina, KS 67401-4162
Phone (785) 825-2400
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.