Active NPI
Brennan Loraine Hadley
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1407219637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05015635A
- Practice address
- 8550 Naab Rd Ste 100
Indianapolis, IN 46260-2086 - Phone
- (317) 338-3364
- NPI assigned
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36003046A | IN | |
| Physical Therapist | 225100000X | 05015635A | IN | Primary |
Addresses
Primary practice location
8550 Naab Rd Ste 100
Indianapolis, IN 46260-2086
Mailing address
271 Lincoln HLS
Coatesville, IN 46121-8944
Phone (317) 242-9649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240906002681 | IN | Practitioner - Physical Therapist in Private Practice | 0749720506 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05015635A | IN | MD | Physical Therapist |
| 36003046A | IN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy on Wheels, Inc. | Physical Therapist | Current | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- Greenwood, IN
- NPI 1932654985
IN, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1407219637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 LINCOLN HLS",
"city": "COATESVILLE",
"state": "IN",
"postal_code": "461218944",
"telephone_number": "317-242-9649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8550 NAAB RD STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602086",
"telephone_number": "317-338-3364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADLEY",
"first_name": "BRENNAN",
"middle_name": "LORAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36003046A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05015635A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.