Active NPI
John Michael Brennan, PTA, RMT, CPT
- Physical Therapy Assistant
- Dallas, TX
National Provider Identifier
1184812901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2020657
- Practice address
- 4205 Sexton LN
Dallas, TX 75229-5445 - Phone
- (972) 896-9701
- NPI assigned
- Oct 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2020657 | TX | Primary |
| Massage Therapist | 225700000X | MT027685 | TX |
Addresses
Primary practice location
4205 Sexton LN
Dallas, TX 75229-5445
Mailing address
4205 Sexton LN
Dallas, TX 75229-5445
Phone (972) 896-9701
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020657 | TX | MD | Physical Therapy Assistant |
| MT027685 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1184812901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 SEXTON LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752295445",
"telephone_number": "972-896-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 SEXTON LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752295445",
"telephone_number": "972-896-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "JOHN MICHAEL",
"name_prefix": "Mr.",
"credential": "PTA, RMT, CPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2020657",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT027685",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Andrea Baird Bremner, PT, DPT
- Cynthia Lou Sewell Brenchley, APRN, FNP-C, AGACNP
- Brenda M. Draper
- Javier Eduardo Brenes Gonzalez, M.D
- Ryan Michael Brenn, PHARMD
- John Michael Brennan, M.D, P.A.
- Robert Nori Brennan, P.A.
- Thomas Brennan, MD
- Melissa Ann Brenneman Waters, D.D.S.
- Adam Marshall Brenner, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.