Active NPI
Jon Brennan, DPT
- Physical Therapist
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 293079
- Practice address
- 15251 National Ave Ste 203
Los Gatos, CA 95032-2400 - Phone
- (408) 356-1990
- Fax
- (408) 356-4736
- NPI assigned
- Jun 29, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 293079 | CA | Primary |
Addresses
Primary practice location
15251 National Ave Ste 203
Los Gatos, CA 95032-2400
Mailing address
1001 E Evelyn Ter Apt 161
Sunnyvale, CA 94086-6791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1194 S de Anza Blvd
San Jose, CA 95129-3632
Phone (408) 257-2225
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
6155 Almaden Expy
Suite 150
San Jose, CA 95120-2781
Phone (408) 268-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B.E.S.T. Physical Therapy, a Prof Corp | Single Specialty | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Single Specialty | Current | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
6155 Almaden Expy
Ste 150
San Jose, CA 95120
Phone (408) 268-2225
1194 S De Anza Blvd
San Jose, CA 95129
Phone (408) 257-2222
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- San Jose, CA
- NPI 1841214491
Single Specialty
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1437670494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E EVELYN TER APT 161",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940866791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15251 NATIONAL AVE STE 203",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322400",
"telephone_number": "408-356-1990",
"fax_number": "408-356-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "JON",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "293079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.