Individual provider Active NPI

James R Brennan, P.T,

  • Physical Therapist
  • Lanesboro, MA
National Provider Identifier
1144451220
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3273 Issued in MA
Practice address
55 Williamstown Road
Lanesboro, MA 01237-9603
Phone
(413) 442-7007
Fax
(413) 442-7011
NPI assigned
Aug 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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 3273 MA Primary

Addresses

Primary practice location

55 Williamstown Road
Lanesboro, MA 01237-9603

Mailing address

55 Williamstown Road
Lanesboro, MA 01237-9603
Phone (413) 442-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1144451220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WILLIAMSTOWN ROAD",
            "city": "LANESBORO",
            "state": "MA",
            "postal_code": "012379603",
            "telephone_number": "413-442-7007",
            "fax_number": "413-442-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WILLIAMSTOWN ROAD",
            "city": "LANESBORO",
            "state": "MA",
            "postal_code": "012379603",
            "telephone_number": "413-442-7007",
            "fax_number": "413-442-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "P.T,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "3273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanesboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.