Active NPI
Brendan McGreevy, DPT
- Physical Therapist
- Glastonbury, CT
National Provider Identifier
1477038156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011346
- Practice address
- 330 Western Blvd Ste 101
Glastonbury, CT 06033-4383 - Phone
- (860) 657-4723
- NPI assigned
- Sep 28, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 011346 | CT | Primary |
Addresses
Primary practice location
330 Western Blvd Ste 101
Glastonbury, CT 06033-4383
Mailing address
155 W Main St Apt 419
Vernon Rockville, CT 06066-3548
Phone (813) 451-3585
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011346 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1477038156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 W MAIN ST APT 419",
"city": "VERNON ROCKVILLE",
"state": "CT",
"postal_code": "060663548",
"telephone_number": "813-451-3585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 WESTERN BLVD STE 101",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334383",
"telephone_number": "860-657-4723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGREEVY",
"first_name": "BRENDAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-28",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "011346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.