Individual provider Active NPI

Brenda Gailhouse

  • Physical Therapist
  • Burlington, MA
National Provider Identifier
1356518864
Registry record updated Jan 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9075 Issued in MA
Practice address
3 Burlington Woods
Suite 304
Burlington, MA 01803-4514
Phone
(781) 270-0222
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2018

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 9075 MA Primary

Addresses

Primary practice location

3 Burlington Woods
Suite 304
Burlington, MA 01803-4514

Mailing address

38 Pond Cir
Boston, MA 02130-2421
Phone (617) 686-3114

Other identifiers 1

IdentifierTypeStateIssuer
9075OtherMALICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131001615 MA Practitioner - Physical Therapist in Private Practice 3173883642 Reassigns benefits to 2 organizations
Practice locations: Boston, MA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Thelos PT LLCGroup PAC ID 2062937311, 7 clinicians
Maximize Your Mobility LLCGroup PAC ID 1456609031, 2 clinicians

Practice addresses (Care Compare)

20 Speen St
Suite 101
Framingham, MA 01701-4174
Phone (781) 757-1114

292 Newbury St
Suite 317
Boston, MA 02115-2801
Phone (617) 686-3114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thelos PT LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Maximize Your Mobility LLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients

Locations

292 Newbury St
Ste 317
Boston, MA 02115
Phone (617) 588-2110

20 Speen St
Ste 101
Framingham, MA 01701
Phone (781) 757-1114

Organizations & group practices 2

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515801600000",
    "number": "1356518864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 POND CIR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021302421",
            "telephone_number": "617-686-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BURLINGTON WOODS",
            "address_2": "SUITE 304",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034514",
            "telephone_number": "781-270-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILHOUSE",
        "first_name": "BRENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2018-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "9075",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2018; 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.