Individual provider Active NPI

Brent Edward Lenci

  • Physical Therapist
  • Palo Alto, CA
National Provider Identifier
1346099322
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306006 Issued in CA
Practice address
425 Sherman Ave
Palo Alto, CA 94306-1823
Phone
(650) 331-3700
NPI assigned
May 14, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PC 162 clinicians

Practice addresses (Care Compare)

425 Sherman Ave
Suite 300
Palo Alto, CA 94306-1851
Phone (650) 331-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240703003118 CA Practitioner - Physical Therapist in Private Practice 7214471002 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306006CAMDPhysical Therapist

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients

Locations

360 Dardanelli Ln
Ste 1F
Los Gatos, CA 95032
Phone (408) 374-8823

425 Sherman Ave
Ste 300
Palo Alto, CA 94306
Phone (650) 331-3700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 306006 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

425 Sherman Ave
Palo Alto, CA 94306-1823

Mailing address

230 Crest Rd
Woodside, CA 94062-2311
Phone (650) 281-1529

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2024.

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1346099322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CREST RD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940622311",
            "telephone_number": "650-281-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SHERMAN AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061823",
            "telephone_number": "650-331-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENCI",
        "first_name": "BRENT",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.