Individual provider Active NPI

Brendan Sardella

  • Physical Therapist
  • Southborough, MA
National Provider Identifier
1124988183
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
89082 Issued in MA
Practice address
154 Turnpike Rd Ste 200
Southborough, MA 01772-2120
Phone
(508) 484-0040
NPI assigned
Nov 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 89082 MA Primary

Addresses

Primary practice location

154 Turnpike Rd Ste 200
Southborough, MA 01772-2120

Mailing address

154 Turnpike Rd Ste 200
Southborough, MA 01772-2120
Phone (508) 484-0040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125003601 MA Practitioner - Physical Therapist in Private Practice 6800388968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concierge Physical Therapy, Inc.Group PAC ID 1658630710, 23 clinicians

Practice addresses (Care Compare)

154 Turnpike Rd
Southborough, MA 01772-2120
Phone (508) 861-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89082MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Physical Therapy, Inc. CurrentSince Nov 6, 2025 Accepting new patients

Locations

307 Grafton St
Ste 103
Shrewsbury, MA 01545
Phone (508) 841-5037

154 Turnpike Rd
Ste 200
Southborough, MA 01772
Phone (508) 484-0040

154 Turnpike Rd
Southborough, MA 01772
Phone (508) 861-1010

211 Worcester Providence Tpke
Sutton, MA 01590
Phone (508) 861-1010

211 Worcester Providence Tpke
#T
Sutton, MA 01590

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": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1124988183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 TURNPIKE RD STE 200",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722120",
            "telephone_number": "508-484-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 TURNPIKE RD STE 200",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722120",
            "telephone_number": "508-484-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDELLA",
        "first_name": "BRENDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "89082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.