Nicole Brenk, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009141 Issued in CT

Practice address

304 Main St Ste a
Farmington, CT 06032-2985

Phone

(860) 674-1824

NPI assigned

Dec 23, 2011

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Talcott Center for Child Development LLC

  dba The Talcott Center for Child Development

  • Behavior Analyst
  • Farmington, CT
  • NPI 1780858621

  Physical Therapist

  NPD
• Shaws Cove Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • New London, CT
  • NPI 1275554222
  NPD (past)
• Somewhere Over the Spectrum

  • Behavior Analyst
  • Berlin, CT
  • NPI 1144805078
  NPD (past)

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1386913051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COBBLESTONE RD",
            "city": "BURLINGTON",
            "state": "CT",
            "postal_code": "060132614",
            "telephone_number": "860-877-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST STE A",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322985",
            "telephone_number": "860-674-1824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Old Route 7",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "CT",
            "postal_code": "068041714",
            "country_code": "US",
            "telephone_number": "203-740-0020",
            "fax_number": "203-740-7354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENK",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Bratchell, BCBA
• Audrey Johanna Brecher, MD
• Joseph A. Brenes, M.D.
• Laura Celeste Brenes, MD
• Robert Brenes, MD
• Lauren Brennan, APRN
• Mary T Brennan, APRN
• Molly Brewer, MD
• Briar & Bloom Therapy LLC
• Andreina Briceno Avellaneda, DDS

• Physical Therapist in Farmington, CT
• Providers in Farmington, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.