Individual provider Active NPI

Thalia Brenan, DPT

  • Physical Therapist
  • Rio Rico, AZ
National Provider Identifier
1386417350
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64713 Issued in OR
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

Updated by the provider on Nov 1, 2023

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 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

LicenseStateTypeSpecialty
64713ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince May 10, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Strength Training Inc Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
Multicare Health System CurrentSince May 10, 2024 Accepting new patients
Strength Training Inc PastSince Dec 4, 2023 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.

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.

Verify at the official NPI Registry.