Shane O'Brennan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20250217 Issued in NM

Practice address

4411 San Mateo Blvd NE Ste 11
Albuquerque, NM 87109-2011

Phone

(515) 217-3907

NPI assigned

Aug 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, SC, AL, NM, MD5 enrollments

Enrollment records 5

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ati Holdings of Alabama LLCGroup PAC ID 2769756436, 66 clinicians

Physical Therapy at Dawn LLCGroup PAC ID 0042221889, 29 clinicians

Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.49 of 100Reported as group

Quality

89.43

Improvement activities

40

Cost

74.33

Merit-based Incentive Payment System (MIPS)

Final score

85.3 of 100Reported as group

Quality

88.48

Improvement activities

40

Cost

72.11

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 and National Provider Directory roles.

• Physical Therapy at Dawn, LLC

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1780695551
  Medicare reassignment Care Compare group NPD
• Ati Holdings of Alabama, LLC

  • Physical Therapist
  • Lincoln, AL
  • NPI 1063952646
  Medicare reassignment Care Compare group NPD
• Ati Holdings, LLC

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050
  Medicare reassignment Care Compare group
• Advanced Physical Therapy, LLC

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1316940505
  Medicare reassignment NPD
• RSFH - Ati Physical Therapy, LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1912378365
  Medicare reassignment NPD
• Advanced Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1700595089

  Physical Therapist

  NPD
• RSFH - Ati Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • North Charleston, SC
  • NPI 1689405664

  Physical Therapist

  NPD

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1518741073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 SAN MATEO BLVD NE STE 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092011",
            "telephone_number": "515-217-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Commons Way Ste D",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "AL",
            "postal_code": "362033490",
            "country_code": "US",
            "telephone_number": "256-624-9722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Savage Rd Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294074790",
            "country_code": "US",
            "telephone_number": "843-402-1495",
            "fax_number": "843-402-1285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12750 Cinnamon Ct",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654018703",
            "country_code": "US",
            "telephone_number": "573-578-5702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRENNAN",
        "first_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT20250217",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Susan Nye, M.D.
• Rebecca B Nye, DOM, MSTOM, DIPL.OM
• Valerie E Nyland, SLP
• Julienne Nzabarinda
• Kacey Jo O'Brennan, DPT
• Jennifer O'Brien Dambmann, LISW
• Amy L O'Brien, LPCC
• Ana-Alicia O'Brien, MOT
• Brigid Alyshe O'Brien, BMS
• Casey Patrick O'Brien, DO

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.