Brenden Pelletier, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16779 Issued in NC

Practice address

61 Weaver Blvd Ste H
Suite #H
Weaverville, NC 28787-6317

Phone

(828) 484-9415

Fax

(828) 484-9478

NPI assigned

Dec 5, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Physical Therapy, LLCGroup PAC ID 0840583407, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Southeastern Physical Therapy, LLC

  • Physical Therapist
  • Asheville, NC
  • NPI 1699791129
  Medicare reassignment Care Compare group NPD
• Henderson County Hospital Corporation

  • Community/Retail Pharmacy
  • Hendersonville, NC
  • NPI 1013694165
  NPD (past)
• Southeastern Physical Therapy, LLC

  • Prosthetic/Orthotic Supplier
  • Weaverville, NC
  • NPI 1730637885
  NPD (past)

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1326446477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 TURTLE CREEK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033152",
            "telephone_number": "828-274-2188",
            "fax_number": "828-274-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 WEAVER BLVD STE H",
            "address_2": "SUITE #H",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287876317",
            "telephone_number": "828-484-9415",
            "fax_number": "828-484-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "BRENDEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "29705",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "16779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Passero, LMFT
• Jessica Payne, ORR/L
• Pamela Payne
• Tamera Lea Pearson, FNP
• Miranda Pelky, PT, DPT
• Betty Lynn Perry, MS-CCC-SLP-
• Matthew Peterson, LCMHC
• Hailee Chandler Phillips, MS CCC-SLP
• Allyson Self Pickens, F-NP
• Catherine M Pidek, MS CCC-SLP

• Physical Therapist in Weaverville, NC
• Providers in Weaverville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.