Individual provider Active NPI

Brendan Andrew Coyle, PT, DPT

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1053142695
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P241142 Issued in NC
Practice address
6019 Oleander Dr Ste 200
Wilmington, NC 28403-4813
Phone
(910) 790-9714
Fax
(910) 791-1063
NPI assigned
Aug 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 27771 MA
Physical Therapist 225100000X P241142 NC Primary

Addresses

Primary practice location

6019 Oleander Dr Ste 200
Wilmington, NC 28403-4813

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (910) 790-9714

Other practice location 1

395 Mass Ave
Acton, MA 01720-3733
Phone (978) 263-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240903001898 MA Practitioner - Physical Therapist in Private Practice 4981143005 Reassigns benefits to 1 organization
I20250813003955 NC Practitioner - Physical Therapist in Private Practice 4981143005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

6019 Oleander Dr
Suite 101
Wilmington, NC 28403-4798
Phone (910) 332-3828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27771MAMDPhysical Therapist
P241142NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Physical Therapy LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Emergeortho PA CurrentSince Jun 16, 2025 Accepting new patients
Achieve Physical Therapy, PC Physical Therapist PastSince Aug 1, 2024 Accepting new patients

Locations

395 Massachusetts Ave
Acton, MA 01720
Phone (978) 263-0007

411 Massachusetts Ave
Ste 302
Acton, MA 01720
Phone (978) 263-0007

191 Hartwell Rd
Bedford, MA 01730
Phone (781) 275-4111

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

6019 Oleander Dr
Ste 101
Wilmington, NC 28403
Phone (910) 332-3828

6019 Oleander Dr
Ste 200
Wilmington, NC 28403
Phone (910) 790-9714

Interoperability endpoints

  • Direct secure messaging: brendan.coyle.1@847.direct.athenahealth.com

Organizations & group practices 4

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1053142695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "910-790-9714",
            "fax_number": "910-791-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 OLEANDER DR STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034813",
            "telephone_number": "910-790-9714",
            "fax_number": "910-791-1063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Mass Ave",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "MA",
            "postal_code": "017203733",
            "country_code": "US",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYLE",
        "first_name": "BRENDAN",
        "middle_name": "ANDREW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27771",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P241142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.