Michelle Brennan, RPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

007388 Issued in CT

Practice address

60 Connolly Pkwy
BLDG. 17a
Hamden, CT 06514-2593

Phone

(203) 230-2815

Fax

(203) 230-8502

NPI assigned

Nov 20, 2009

Last updated

Nov 20, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cheshire Fitness Zone, LLC

  • Pediatric Physical Therapist
  • Cheshire, CT
  • NPI 1205961547

  Pediatrics

  NPD (past)
• Reachout, Inc.

  • Early Intervention Provider Agency
  • Hamden, CT
  • NPI 1851739098

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1184952616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CONNOLLY PARKWAY",
            "address_2": "BLDG. 17A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-230-2815",
            "fax_number": "203-230-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CONNOLLY PKWY",
            "address_2": "BLDG. 17A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142593",
            "telephone_number": "203-230-2815",
            "fax_number": "203-230-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MICHELLE",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CT",
            "license": "007388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Brandl, RN
• Laurel Habink Brandon, APRN
• Diana L Brassell, DPT
• Tamar Ranon Braverman, MD
• Matthew Brennan, LCSW
• Karyn Sue Brents, DC
• Maria H Brereton, LCSW
• Brett Gerstenhaber MD LLC
• Samuel Leon Bridgers, M.D.
• Jonathan A Brier, MD

• Pediatric Physical Therapist in Hamden, CT
• Providers in Hamden, CT by specialty
• Pediatric Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.