Individual provider Active NPI

Marla J Brennan, M.P.T.

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1124351408
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2380 Issued in NV
Practice address
15 McCabe Dr
Suite 101
Reno, NV 89511-5924
Phone
(775) 788-5599
Fax
(775) 788-5598
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2380 NV Primary

Addresses

Primary practice location

15 McCabe Dr
Suite 101
Reno, NV 89511-5924

Mailing address

15 McCabe Dr
Suite 101
Reno, NV 89511-5924
Phone (775) 788-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000361 NV Practitioner - Physical Therapist in Private Practice 2264568633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sidener Physical Therapy LLCGroup PAC ID 9436103249, 12 clinicians

Practice addresses (Care Compare)

15 McCabe Dr
Suite 101
Reno, NV 89511-4815
Phone (775) 788-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sidener Physical Therapy LLC Physical Therapist CurrentSince Mar 18, 2010 Accepting new patients

Locations

15 McCabe Dr
Ste 101
Reno, NV 89511
Phone (775) 331-3030

4798 Caughlin Pkwy
Ste B
Reno, NV 89519
Phone (775) 284-4774

970 Roberta Ln
Ste 100
Sparks, NV 89431
Phone (775) 331-3030

Organizations & group practices 1

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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1124351408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MCCABE DR",
            "address_2": "SUITE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115924",
            "telephone_number": "775-788-5599",
            "fax_number": "775-788-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MCCABE DR",
            "address_2": "SUITE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115924",
            "telephone_number": "775-788-5599",
            "fax_number": "775-788-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MARLA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.