Individual provider Active NPI

Brendan Aikens

  • Physical Therapist
  • Hanover, MA
National Provider Identifier
1417438532
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23692 Issued in MA
Practice address
20 East St
Hanover, MA 02339-1638
Phone
(781) 485-7204
NPI assigned
Aug 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 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 23692 MA Primary

Addresses

Primary practice location

20 East St
Hanover, MA 02339-1638

Mailing address

2 Stony Brook Rd
Kingston, MA 02364-1455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126001855 MA Practitioner - Physical Therapist in Private Practice 4385998624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians
Plymouth Bay Orthopedic Associates IncGroup PAC ID 3375448335, 31 clinicians

Practice addresses (Care Compare)

160 N Main St
Carver, MA 02330-1027
Phone (508) 866-1003

41 Resnik Rd
Plymouth, MA 02360-4842
Phone (781) 934-7292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23692MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Bay Orthopedic Associates Inc. CurrentSince Sep 15, 2022 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Plymouth Bay Orthopedic Associates Inc. Physical Therapist CurrentSince Sep 15, 2022 Accepting new patients

Locations

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

160 N Main St
Carver, MA 02330
Phone (508) 866-1003

95 Tremont St
Ste 1
Duxbury, MA 02332
Phone (781) 934-2400

41 Resnik Rd
Plymouth, MA 02360
Phone (781) 934-2400

Organizations & group practices 7

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1417438532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STONY BROOK RD",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAST ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391638",
            "telephone_number": "781-485-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIKENS",
        "first_name": "BRENDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.