Active NPI
Thalia Brenan, DPT
- Physical Therapist
- Rio Rico, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 64713
- Practice address
- 1279 W Frontage Rd
Rio Rico, AZ 85648-6210 - Phone
- (520) 375-2127
- NPI assigned
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 64713 | OR | Primary |
Addresses
Primary practice location
1279 W Frontage Rd
Rio Rico, AZ 85648-6210
Mailing address
2101 Palm LN
Orlando, FL 32803-1538
Other practice location 1
2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64713 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Strength Training Inc | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Strength Training Inc | Past | Accepting new patients |
Locations
17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836
3970 W 24th St
Ste 108
Yuma, AZ 85364
Phone (602) 300-9464
11361 S Foothills Blvd
Ste 3
Yuma, AZ 85367
Phone (928) 342-7234
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
16101 64th St E
Sumner, WA 98390
Phone (253) 750-0453
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Everett, WA
- NPI 1164185765
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba STI Therapy Division
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1386417350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 PALM LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1279 W FRONTAGE RD",
"city": "RIO RICO",
"state": "AZ",
"postal_code": "856486210",
"telephone_number": "520-375-2127"
}
],
"practiceLocations": [
{
"address_1": "2111 Exchange St",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "OR",
"postal_code": "971033329",
"country_code": "US",
"telephone_number": "503-325-4321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRENAN",
"first_name": "THALIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-01",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "64713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rico, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.