Individual provider Active NPI

Brett Medeiros, DPT

  • Physical Therapist
  • South Dennis, MA
National Provider Identifier
1346765690
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
860 Route 134 Ste 5&6
South Dennis, MA 02660-2577
Phone
(508) 385-4212
NPI assigned
Aug 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

860 Route 134 Ste 5&6
South Dennis, MA 02660-2577

Mailing address

23 Raymond Ave
South Yarmouth, MA 02664-1946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518002922 NH Practitioner - Physical Therapist in Private Practice 1759717879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Valley Physical TherapyGroup PAC ID 0840277869, 30 clinicians

Practice addresses (Care Compare)

185 Cottage St
Portsmouth, NH 03801-4108
Phone (603) 610-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Physical Therapy Physical Therapist CurrentSince May 24, 2021 Accepting new patients

Locations

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

857 Central Ave
Dover, NH 03820
Phone (603) 403-5024

12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1346765690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RAYMOND AVE",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ROUTE 134 STE 5&6",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602577",
            "telephone_number": "508-385-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "BRETT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Dennis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.