Active NPI
Brenan Hall
- Physical Therapist
- Greencastle, IN
National Provider Identifier
1154252583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05016547A
- Practice address
- 1003 Mill Pond Dr Ste C
Greencastle, IN 46135-2609 - Phone
- (765) 653-8494
- NPI assigned
- May 26, 2026
- Last updated
- Aug 18, 2026
- 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 | 05016547A | IN | Primary |
Addresses
Primary practice location
1003 Mill Pond Dr Ste C
Greencastle, IN 46135-2609
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (803) 812-3656
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": "1779753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1154252583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "803-812-3656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 MILL POND DR STE C",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461352609",
"telephone_number": "765-653-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "BRENAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-26",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05016547A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greencastle, IN
- Greencastle Wound & Diabetic Foot Care Clinic, LLC
- Jessica Gregory, DPT
- Tina Marie Grzesiek, MED, LMHC
- Denisha Gude, RD, CDCES
- Pamela Guthrie, PHD, HSPP
- Hamilton Center Inc. (Grace Clinic Health Professional)
- Scott Adam Hamilton, LMHC
- Gerald A Hancock, MS,OTR
- Lynn Annette Handy, R.N.
- Quinn Harmon, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.