Kelly Leann Brennan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

014020 Issued in AZ

Practice address

8679 E San Alberto
Scottsdale, AZ 85258-4368

Phone

(619) 852-5489

NPI assigned

Jul 16, 2020

Last updated

Jul 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Leann Boyle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1174131098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W MAIN ST APT 3114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852019098",
            "telephone_number": "619-852-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8679 E SAN ALBERTO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584368",
            "telephone_number": "619-852-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "KELLY",
        "middle_name": "LEANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "014020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BOYLE",
            "middle_name": "LEANN",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Maria Brennan, M.A., LAMFT
• Anna Marie Brennan, PT
• Bayley Keiko Leonahe Brennan, MD
• Gary Leyton Brennan, D.D.S.
• Jacob Brennan, PT, DPT
• Megan Brennan, RN
• Monica Teresa Brennan, WHNP-BC
• Danika Brenneman, MA SLP
• Bret S. Standage DMD PLLC
• Brett Swenson MD, P.L.L.C (Swenson M.D. Premier Care)

• Physical Therapy Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.