Active NPI
Brendan Surette
- Physical Therapist
- Lowell, MA
National Provider Identifier
1083477517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 176 Walker St
Lowell, MA 01854-3164 - Phone
- (978) 452-9252
- NPI assigned
- Feb 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
176 Walker St
Lowell, MA 01854-3164
Mailing address
176 Walker St
Lowell, MA 01854-3164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14 Research PL
North Chelmsford, MA 01863-2460
Phone (978) 454-0706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Surgical Associates of Lowell, P.C. | Current | Accepting new patients | |
| Orthopaedic Surgical Associates of Lowell, P.C. | Current | Accepting new patients |
Locations
176 Walker St
Lowell, MA 01854
Phone (978) 452-9252
14 Research Pl
North Chelmsford, MA 01863
Phone (978) 256-6607
1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562
Interoperability endpoints
- brendan.surette.1@1154.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- North Chelmsford, MA
- NPI 1457361040
-
- Orthopaedic Surgery Physician
- Westford, MA
- NPI 1568055309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1083477517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 WALKER ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018543164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 WALKER ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018543164",
"telephone_number": "978-452-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURETTE",
"first_name": "BRENDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.